| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,177 |
2,457 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,486 |
2,308 |
$100K |
| 76830 |
Ultrasound, transvaginal |
1,330 |
1,294 |
$84K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,400 |
1,372 |
$83K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
825 |
814 |
$53K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
582 |
580 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,096 |
1,073 |
$15K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
13 |
12 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
506 |
505 |
$8K |
| 81025 |
|
1,330 |
1,301 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
33 |
$2K |
| 99385 |
|
27 |
27 |
$2K |
| 58300 |
|
14 |
13 |
$730.73 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
626 |
622 |
$5.59 |