| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,383 |
11,505 |
$1.54M |
| 0502F |
|
6,597 |
3,490 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,174 |
1,626 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,158 |
984 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
953 |
$745.96 |
| 59430 |
|
28 |
26 |
$375.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,413 |
1,878 |
$179.55 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
373 |
321 |
$71.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
85 |
78 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
85 |
67 |
$0.00 |