| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,561 |
1,444 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
433 |
420 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
157 |
123 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
154 |
153 |
$11K |
| 76830 |
Ultrasound, transvaginal |
165 |
162 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
38 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
26 |
24 |
$2K |
| 99385 |
|
14 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$907.46 |
| 86850 |
|
12 |
12 |
$431.01 |
| 85027 |
|
12 |
12 |
$398.46 |
| 86901 |
|
12 |
12 |
$234.41 |
| 86900 |
|
12 |
12 |
$190.19 |