| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,344 |
18,216 |
$1.40M |
| 76830 |
Ultrasound, transvaginal |
8,651 |
7,948 |
$584K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,028 |
3,878 |
$275K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,259 |
2,190 |
$208K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,134 |
2,099 |
$143K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,991 |
1,953 |
$139K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,380 |
1,254 |
$90K |
| 58558 |
|
256 |
252 |
$39K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
205 |
170 |
$13K |
| 81025 |
|
2,034 |
1,867 |
$7K |
| 99385 |
|
96 |
96 |
$6K |
| 57500 |
|
169 |
169 |
$5K |
| 99219 |
|
41 |
38 |
$4K |
| 99215 |
Prolong outpt/office vis |
33 |
32 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 59025 |
Fetal non-stress test |
40 |
37 |
$2K |
| 99386 |
|
18 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
80 |
$917.39 |
| 81002 |
|
254 |
231 |
$153.26 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
44 |
29 |
$45.00 |
| 3015F |
|
365 |
364 |
$0.00 |
| 0502F |
|
4,951 |
2,447 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |