| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,990 |
5,274 |
$285K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
569 |
532 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
407 |
386 |
$15K |
| 81025 |
|
2,269 |
2,057 |
$13K |
| 76830 |
Ultrasound, transvaginal |
93 |
89 |
$10K |
| 81002 |
|
3,574 |
3,322 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
90 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
48 |
38 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$2K |
| 59020 |
|
47 |
38 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
31 |
$515.09 |
| 87220 |
|
158 |
147 |
$319.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$271.36 |
| 90686 |
|
13 |
12 |
$130.39 |
| 87210 |
|
25 |
24 |
$85.27 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
24 |
$25.06 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |