| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12,399 |
12,399 |
$1.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,233 |
13,402 |
$1.34M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,479 |
7,506 |
$1.25M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,061 |
6,060 |
$745K |
| 76830 |
Ultrasound, transvaginal |
5,683 |
5,668 |
$629K |
| 90651 |
|
1,260 |
1,260 |
$359K |
| 99386 |
|
1,856 |
1,856 |
$295K |
| 99385 |
|
1,001 |
1,001 |
$137K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,043 |
913 |
$105K |
| 58100 |
|
842 |
839 |
$92K |
| 58558 |
|
61 |
61 |
$86K |
| 76818 |
|
615 |
389 |
$77K |
| 81025 |
|
11,167 |
10,841 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,169 |
3,129 |
$56K |
| 57454 |
|
231 |
231 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
203 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
164 |
$22K |
| 90674 |
|
327 |
327 |
$10K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$4K |
| 87210 |
|
770 |
766 |
$4K |
| 90686 |
|
176 |
176 |
$4K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$3K |
| 90715 |
|
68 |
68 |
$2K |
| 58301 |
|
14 |
13 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$2K |
| 81002 |
|
344 |
343 |
$941.73 |
| 36415 |
Collection of venous blood by venipuncture |
1,208 |
1,155 |
$811.66 |
| 90661 |
|
12 |
12 |
$446.08 |
| 99051 |
|
16 |
16 |
$113.76 |
| 99000 |
|
14 |
12 |
$0.00 |