| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,116 |
3,537 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,555 |
1,435 |
$102K |
| 76830 |
Ultrasound, transvaginal |
1,545 |
1,390 |
$93K |
| 59426 |
|
116 |
104 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
652 |
543 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
375 |
240 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
138 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
203 |
157 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
73 |
55 |
$10K |
| 81025 |
|
842 |
729 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
50 |
$4K |
| 90715 |
|
89 |
79 |
$3K |
| 99406 |
|
169 |
136 |
$1K |
| 81002 |
|
602 |
540 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
114 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
400 |
286 |
$832.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
36 |
$682.57 |
| 90686 |
|
28 |
23 |
$491.38 |
| 3292F |
|
184 |
146 |
$0.00 |
| 3294F |
|
72 |
64 |
$0.00 |
| 0501F |
|
123 |
82 |
$0.00 |
| 0502F |
|
988 |
569 |
$0.00 |