| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,968 |
8,792 |
$476K |
| 76830 |
Ultrasound, transvaginal |
1,732 |
1,529 |
$145K |
| 99385 |
|
1,060 |
1,051 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
645 |
645 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
892 |
862 |
$51K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,034 |
1,015 |
$40K |
| 57150 |
|
706 |
659 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
348 |
340 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
235 |
233 |
$14K |
| 99386 |
|
224 |
221 |
$14K |
| 99205 |
Prolong outpt/office vis |
127 |
127 |
$12K |
| 88142 |
|
364 |
362 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
74 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
56 |
56 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
77 |
$3K |
| 87110 |
|
120 |
117 |
$2K |
| 81002 |
|
1,450 |
1,064 |
$1K |
| 81025 |
|
42 |
41 |
$135.82 |
| 99072 |
|
822 |
609 |
$0.00 |