| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,140 |
2,329 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,167 |
812 |
$50K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
155 |
151 |
$16K |
| 81002 |
|
3,644 |
2,316 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
107 |
97 |
$8K |
| 59430 |
|
55 |
54 |
$5K |
| 81025 |
|
510 |
476 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 76830 |
Ultrasound, transvaginal |
15 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
79 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$945.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
25 |
$311.35 |
| 0502F |
|
19 |
16 |
$0.00 |