| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,577 |
649 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,078 |
977 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,289 |
1,186 |
$53K |
| 76818 |
|
367 |
141 |
$51K |
| 76830 |
Ultrasound, transvaginal |
418 |
404 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
321 |
319 |
$29K |
| T1015 |
Clinic visit/encounter, all-inclusive |
502 |
501 |
$25K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
283 |
283 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
293 |
268 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
96 |
87 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
433 |
387 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
84 |
77 |
$7K |
| T1001 |
Nursing assessment / evaluation |
29 |
29 |
$7K |
| S9470 |
Nutritional counseling, dietitian visit |
283 |
241 |
$6K |
| 99205 |
Prolong outpt/office vis |
29 |
29 |
$2K |
| 81025 |
|
429 |
423 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$851.71 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
37 |
$620.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
29 |
29 |
$597.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
16 |
16 |
$321.00 |
| 99072 |
|
137 |
118 |
$0.00 |