| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,199 |
3,888 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,971 |
2,332 |
$211K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
742 |
668 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
505 |
413 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
307 |
257 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
392 |
332 |
$31K |
| 99385 |
|
329 |
287 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
420 |
348 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
204 |
167 |
$19K |
| 76801 |
|
225 |
182 |
$19K |
| 76830 |
Ultrasound, transvaginal |
206 |
165 |
$17K |
| 81025 |
|
2,105 |
1,751 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,052 |
869 |
$9K |
| 99459 |
|
778 |
531 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
690 |
516 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
297 |
247 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
506 |
471 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
32 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 99072 |
|
762 |
597 |
$753.10 |
| G9001 |
Coordinated care fee, initial rate |
23 |
23 |
$575.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
22 |
20 |
$191.04 |
| 81002 |
|
65 |
62 |
$155.54 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
24 |
$0.00 |