| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,822 |
2,452 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,007 |
744 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
178 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
69 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
108 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
128 |
105 |
$6K |
| 76801 |
|
92 |
78 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
572 |
475 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$894.78 |
| 90715 |
|
13 |
12 |
$543.40 |