| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
591 |
572 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
270 |
262 |
$20K |
| 76818 |
|
141 |
99 |
$16K |
| 76830 |
Ultrasound, transvaginal |
197 |
196 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
136 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
285 |
283 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
38 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
97 |
$2K |
| T1001 |
Nursing assessment / evaluation |
13 |
12 |
$2K |
| 76801 |
|
14 |
14 |
$1K |
| 96160 |
|
67 |
67 |
$251.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$171.46 |
| 0501F |
|
26 |
25 |
$0.00 |
| 0502F |
|
699 |
603 |
$0.00 |