| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,137 |
18,926 |
$832K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
548 |
$30K |
| 76830 |
Ultrasound, transvaginal |
519 |
478 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
333 |
284 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
244 |
232 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
274 |
240 |
$14K |
| 81025 |
|
1,639 |
1,485 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
55 |
52 |
$4K |
| 99385 |
|
31 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
82 |
$2K |
| 87210 |
|
374 |
335 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$989.60 |
| 52000 |
|
21 |
12 |
$333.94 |
| 81003 |
|
184 |
163 |
$109.07 |