| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,082 |
7,040 |
$616K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,776 |
2,407 |
$134K |
| 76830 |
Ultrasound, transvaginal |
1,557 |
1,554 |
$134K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,200 |
1,198 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
461 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
421 |
420 |
$42K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
236 |
221 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
137 |
137 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
76 |
75 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$4K |
| 93975 |
|
19 |
19 |
$4K |
| 76820 |
|
117 |
92 |
$3K |
| 76801 |
|
12 |
12 |
$1K |
| 99459 |
|
15 |
14 |
$330.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$169.71 |
| 99072 |
|
617 |
542 |
$0.00 |