| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
405 |
$37K |
| 76830 |
Ultrasound, transvaginal |
261 |
235 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203 |
182 |
$11K |
| 81002 |
|
598 |
551 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$801.71 |
| 58300 |
|
19 |
12 |
$567.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
29 |
$539.56 |
| 81025 |
|
82 |
60 |
$429.93 |
| 90658 |
|
14 |
14 |
$189.60 |
| 36416 |
|
55 |
51 |
$155.72 |
| 85018 |
|
128 |
119 |
$17.64 |