| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,581 |
6,768 |
$549K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,302 |
3,914 |
$468K |
| 76830 |
Ultrasound, transvaginal |
2,784 |
2,758 |
$219K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,253 |
2,231 |
$155K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,408 |
1,403 |
$149K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
937 |
932 |
$105K |
| 99215 |
Prolong outpt/office vis |
672 |
660 |
$100K |
| 99385 |
|
442 |
441 |
$47K |
| 99386 |
|
246 |
246 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
446 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
192 |
173 |
$16K |
| 93975 |
|
44 |
41 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
89 |
$9K |
| 99459 |
|
363 |
330 |
$8K |
| 81025 |
|
1,662 |
1,638 |
$5K |
| 99354 |
|
64 |
63 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
32 |
24 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$2K |
| 76377 |
|
24 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
396 |
385 |
$1K |
| 81002 |
|
527 |
522 |
$969.68 |
| 81000 |
|
69 |
68 |
$218.43 |
| 96127 |
|
44 |
44 |
$207.52 |
| 99072 |
|
251 |
238 |
$60.00 |
| 81003 |
|
24 |
24 |
$34.79 |