| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,298 |
7,892 |
$1.09M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
344 |
283 |
$9K |
| 0502F |
|
8,213 |
3,672 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,888 |
1,332 |
$347.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
13 |
$240.08 |
| 81025 |
|
241 |
165 |
$7.74 |
| 1036F |
|
103 |
79 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
226 |
164 |
$0.00 |
| 0500F |
|
471 |
383 |
$0.00 |
| 0503F |
|
66 |
66 |
$0.00 |
| 3008F |
|
141 |
114 |
$0.00 |
| 3074F |
|
228 |
170 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
82 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
19 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
13 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$0.00 |
| 59025 |
Fetal non-stress test |
54 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
149 |
85 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
713 |
549 |
$0.00 |
| 1159F |
|
133 |
104 |
$0.00 |
| 3078F |
|
194 |
143 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
114 |
66 |
$0.00 |
| 3725F |
|
35 |
21 |
$0.00 |
| 1160F |
|
114 |
87 |
$0.00 |