| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,286 |
3,410 |
$300K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
762 |
736 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
431 |
$52K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
559 |
405 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
564 |
538 |
$25K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
96 |
72 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
71 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$4K |
| 76830 |
Ultrasound, transvaginal |
32 |
26 |
$3K |
| 81025 |
|
322 |
303 |
$2K |
| 99401 |
|
54 |
53 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
868 |
804 |
$1K |
| 87070 |
|
173 |
165 |
$1K |
| 99385 |
|
13 |
13 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$831.94 |