| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,608 |
1,492 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,834 |
1,288 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
437 |
387 |
$35K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
138 |
129 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
86 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 81003 |
|
281 |
129 |
$615.60 |
| 0503F |
|
12 |
12 |
$609.30 |
| 81025 |
|
16 |
13 |
$84.60 |