| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,588 |
2,320 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,233 |
1,140 |
$98K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,308 |
1,147 |
$86K |
| 99215 |
Prolong outpt/office vis |
460 |
421 |
$53K |
| 76830 |
Ultrasound, transvaginal |
451 |
418 |
$46K |
| 76801 |
|
247 |
229 |
$24K |
| 99205 |
Prolong outpt/office vis |
50 |
50 |
$7K |
| 81025 |
|
881 |
825 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
70 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
37 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
40 |
$3K |
| 81002 |
|
889 |
612 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$903.09 |
| 99072 |
|
257 |
228 |
$889.58 |
| 0502F |
|
126 |
98 |
$750.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
40 |
$478.95 |
| 0503F |
|
13 |
13 |
$5.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$0.34 |