| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,387 |
1,096 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,060 |
1,934 |
$138K |
| 76830 |
Ultrasound, transvaginal |
1,164 |
1,151 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,608 |
2,476 |
$92K |
| 76818 |
|
486 |
198 |
$68K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
655 |
645 |
$63K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
252 |
236 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,204 |
1,202 |
$26K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
395 |
360 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
427 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
989 |
888 |
$13K |
| 99072 |
|
672 |
480 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
109 |
97 |
$7K |
| 81025 |
|
918 |
908 |
$4K |
| S9470 |
Nutritional counseling, dietitian visit |
226 |
199 |
$4K |
| T1001 |
Nursing assessment / evaluation |
13 |
13 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$2K |
| 99385 |
|
100 |
100 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$924.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
51 |
51 |
$841.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$814.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
14 |
14 |
$231.00 |
| 81002 |
|
27 |
21 |
$102.75 |