| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,600 |
3,059 |
$142K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,357 |
1,285 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
765 |
548 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
668 |
649 |
$46K |
| 59514 |
|
77 |
77 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,044 |
1,021 |
$12K |
| 81002 |
|
4,223 |
3,870 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
95 |
$9K |
| 99385 |
|
88 |
84 |
$6K |
| 76801 |
|
62 |
56 |
$5K |
| 81025 |
|
482 |
449 |
$3K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$874.44 |
| 0502F |
|
2,307 |
1,444 |
$0.00 |
| 0501F |
|
38 |
37 |
$0.00 |