| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,355 |
678 |
$114K |
| 0502F |
|
2,137 |
1,075 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,157 |
1,694 |
$97K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
267 |
192 |
$16K |
| 81002 |
|
3,928 |
1,732 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
62 |
53 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$862.80 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
25 |
$45.10 |