| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,737 |
7,862 |
$557K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,312 |
9,203 |
$391K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,038 |
2,646 |
$267K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,832 |
3,690 |
$229K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,680 |
1,507 |
$93K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,329 |
1,271 |
$84K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
513 |
477 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,345 |
1,258 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
342 |
$18K |
| 76830 |
Ultrasound, transvaginal |
224 |
207 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
188 |
168 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
598 |
569 |
$13K |
| 99385 |
|
61 |
58 |
$4K |
| 76801 |
|
61 |
56 |
$4K |
| 59430 |
|
15 |
12 |
$986.13 |
| H1000 |
Prenatal care, at-risk assessment |
16 |
12 |
$124.05 |