| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,815 |
4,569 |
$277K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,412 |
1,318 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,825 |
1,381 |
$59K |
| 99000 |
|
1,774 |
1,549 |
$14K |
| 76830 |
Ultrasound, transvaginal |
129 |
127 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
143 |
141 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
171 |
$11K |
| 81002 |
|
4,880 |
3,178 |
$10K |
| 99385 |
|
149 |
128 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
155 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
113 |
112 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
62 |
61 |
$7K |
| 81025 |
|
729 |
653 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
40 |
39 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
28 |
27 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
26 |
$307.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$302.66 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
48 |
$0.00 |