| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,275 |
2,913 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,074 |
5,609 |
$226K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,261 |
2,160 |
$130K |
| 76830 |
Ultrasound, transvaginal |
1,145 |
1,113 |
$90K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,560 |
1,451 |
$85K |
| 99386 |
|
341 |
332 |
$22K |
| 99385 |
|
309 |
307 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
291 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
449 |
423 |
$14K |
| 81025 |
|
2,414 |
2,294 |
$13K |
| 99459 |
|
1,275 |
1,205 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,533 |
2,219 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
96 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
16 |
14 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
34 |
34 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
34 |
34 |
$1K |
| 96040 |
|
74 |
57 |
$999.62 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$401.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$142.17 |
| 81002 |
|
163 |
132 |
$82.88 |
| 96160 |
|
13 |
12 |
$4.84 |
| 0502F |
|
680 |
478 |
$3.75 |