| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,893 |
1,705 |
$93K |
| 76830 |
Ultrasound, transvaginal |
247 |
234 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
624 |
574 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
181 |
176 |
$15K |
| 90651 |
|
43 |
42 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
112 |
109 |
$9K |
| 99385 |
|
78 |
74 |
$7K |
| 81025 |
|
811 |
733 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
44 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
161 |
151 |
$2K |
| 87210 |
|
375 |
347 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$1K |
| 81002 |
|
148 |
139 |
$394.19 |
| 96127 |
|
74 |
66 |
$332.48 |
| 36415 |
Collection of venous blood by venipuncture |
102 |
89 |
$263.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
33 |
$230.68 |
| 90686 |
|
17 |
14 |
$189.85 |