| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,536 |
2,243 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
552 |
550 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
430 |
404 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
789 |
701 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
316 |
260 |
$19K |
| 81002 |
|
6,618 |
5,395 |
$15K |
| 76830 |
Ultrasound, transvaginal |
119 |
112 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
231 |
206 |
$10K |
| 81025 |
|
1,618 |
1,479 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
642 |
566 |
$7K |
| 99385 |
|
29 |
28 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
13 |
$1K |
| 87210 |
|
301 |
269 |
$1K |
| 57454 |
|
12 |
12 |
$866.10 |
| 85018 |
|
455 |
398 |
$740.28 |
| 85014 |
|
455 |
398 |
$740.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$739.26 |
| 82950 |
|
42 |
42 |
$205.63 |
| 88142 |
|
14 |
14 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
506 |
449 |
$0.00 |