| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,964 |
6,313 |
$764K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,017 |
3,503 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
639 |
$85K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
613 |
578 |
$52K |
| 76818 |
|
273 |
145 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
206 |
173 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
80 |
79 |
$9K |
| 99218 |
|
12 |
12 |
$591.35 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$466.43 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$349.72 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$321.65 |