| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,227 |
1,210 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,005 |
1,582 |
$162K |
| 0502F |
|
1,826 |
890 |
$114K |
| 76830 |
Ultrasound, transvaginal |
958 |
827 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
635 |
575 |
$39K |
| 59025 |
Fetal non-stress test |
1,169 |
316 |
$38K |
| 59430 |
|
134 |
78 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
216 |
110 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
110 |
$11K |
| 99215 |
Prolong outpt/office vis |
115 |
98 |
$9K |
| 81003 |
|
2,729 |
1,121 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
30 |
$5K |
| 96127 |
|
246 |
150 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
12 |
$2K |
| 90715 |
|
41 |
18 |
$1K |
| 81002 |
|
67 |
41 |
$166.92 |
| 1160F |
|
14 |
14 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |