| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,477 |
5,220 |
$339K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,639 |
1,637 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
884 |
829 |
$32K |
| 76830 |
Ultrasound, transvaginal |
202 |
201 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
164 |
164 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
156 |
127 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
58 |
52 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
133 |
105 |
$2K |
| 81025 |
|
304 |
295 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
108 |
$1K |
| 87210 |
|
177 |
155 |
$786.83 |
| 90674 |
|
24 |
24 |
$684.19 |
| 90658 |
|
15 |
15 |
$261.68 |
| 83986 |
|
65 |
65 |
$143.04 |
| 81002 |
|
28 |
28 |
$69.56 |