| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,594 |
1,545 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
918 |
899 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
380 |
380 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
384 |
383 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
495 |
481 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
240 |
225 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
317 |
314 |
$18K |
| 59430 |
|
94 |
93 |
$17K |
| 76801 |
|
241 |
241 |
$16K |
| 59025 |
Fetal non-stress test |
824 |
666 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
539 |
469 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,517 |
1,999 |
$7K |
| 76830 |
Ultrasound, transvaginal |
65 |
63 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
440 |
386 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
105 |
$3K |
| 81025 |
|
245 |
227 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$1K |
| 90686 |
|
66 |
65 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
122 |
$1K |
| 90715 |
|
25 |
24 |
$788.36 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$501.92 |
| 3079F |
|
185 |
184 |
$0.00 |
| 3074F |
|
1,057 |
1,006 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
16 |
12 |
$0.00 |
| 3078F |
|
777 |
742 |
$0.00 |