| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,654 |
1,524 |
$51K |
| 90651 |
|
159 |
157 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
601 |
539 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
316 |
299 |
$20K |
| 76830 |
Ultrasound, transvaginal |
142 |
136 |
$12K |
| 81025 |
|
606 |
573 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
207 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$578.04 |
| 99000 |
|
44 |
44 |
$453.60 |
| 81003 |
|
103 |
93 |
$163.12 |