| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,190 |
4,642 |
$322K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,374 |
1,310 |
$125K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
612 |
612 |
$59K |
| 87210 |
|
1,157 |
1,156 |
$4K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$1K |
| 77081 |
|
50 |
50 |
$875.10 |
| 99442 |
|
13 |
13 |
$760.79 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
28 |
28 |
$254.25 |