| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,362 |
1,452 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
341 |
248 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
272 |
263 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
132 |
$10K |
| 76830 |
Ultrasound, transvaginal |
70 |
66 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$1K |
| 81025 |
|
311 |
281 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$208.54 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
225 |
169 |
$2.07 |
| 1036F |
|
258 |
195 |
$0.00 |
| 1126F |
|
34 |
26 |
$0.00 |
| 3074F |
|
34 |
26 |
$0.00 |
| 3725F |
|
794 |
564 |
$0.00 |
| 3078F |
|
34 |
24 |
$0.00 |