| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
864 |
821 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
291 |
289 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
513 |
$34K |
| 76830 |
Ultrasound, transvaginal |
168 |
163 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$2K |
| 81025 |
|
294 |
281 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
44 |
$873.93 |
| A4550 |
Surgical trays |
70 |
67 |
$850.00 |
| 81002 |
|
82 |
81 |
$192.91 |
| 99000 |
|
730 |
717 |
$0.00 |
| 0503F |
|
14 |
14 |
$0.00 |