| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,448 |
2,090 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,327 |
2,894 |
$145K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
266 |
247 |
$16K |
| 99215 |
Prolong outpt/office vis |
64 |
55 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
99 |
86 |
$5K |
| 99459 |
|
221 |
197 |
$3K |
| 81002 |
|
998 |
940 |
$2K |
| 76830 |
Ultrasound, transvaginal |
32 |
30 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
41 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
15 |
$400.95 |
| 1036F |
|
14 |
14 |
$0.00 |