| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,617 |
29,583 |
$2.09M |
| 76818 |
|
4,357 |
1,541 |
$457K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,174 |
2,804 |
$282K |
| 76830 |
Ultrasound, transvaginal |
2,615 |
2,361 |
$273K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,656 |
2,424 |
$232K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
676 |
624 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
958 |
853 |
$69K |
| 76857 |
|
1,168 |
1,112 |
$61K |
| 80305 |
|
10,359 |
7,960 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
628 |
607 |
$53K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
26 |
24 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
275 |
$39K |
| 81025 |
|
4,428 |
3,905 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
215 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,741 |
2,289 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
141 |
80 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$2K |
| 57454 |
|
17 |
16 |
$2K |
| 56820 |
|
30 |
29 |
$1K |
| 81002 |
|
443 |
395 |
$749.98 |
| A4550 |
Surgical trays |
14 |
12 |
$399.49 |
| 86580 |
|
30 |
29 |
$132.02 |