| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,772 |
9,232 |
$512K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,509 |
1,339 |
$91K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
401 |
391 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
637 |
579 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
171 |
159 |
$14K |
| 76830 |
Ultrasound, transvaginal |
212 |
203 |
$13K |
| 59025 |
Fetal non-stress test |
409 |
305 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
327 |
324 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
54 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
70 |
69 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
54 |
$704.50 |
| 81025 |
|
54 |
50 |
$341.62 |
| 83986 |
|
12 |
12 |
$35.87 |