| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,895 |
3,351 |
$189K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
237 |
233 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
114 |
109 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
96 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
78 |
71 |
$7K |
| 81025 |
|
865 |
810 |
$6K |
| 81002 |
|
2,165 |
1,532 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
58 |
54 |
$5K |
| 76830 |
Ultrasound, transvaginal |
38 |
36 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
42 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
181 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$669.22 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
73 |
68 |
$627.99 |
| 87210 |
|
142 |
131 |
$621.14 |
| 85018 |
|
244 |
155 |
$396.02 |
| 90686 |
|
18 |
16 |
$233.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
16 |
$99.55 |
| 36416 |
|
30 |
30 |
$14.85 |