| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,782 |
3,389 |
$398K |
| 76830 |
Ultrasound, transvaginal |
388 |
373 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
354 |
351 |
$28K |
| 87110 |
|
1,723 |
1,685 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
214 |
214 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
127 |
$18K |
| 87660 |
|
460 |
445 |
$8K |
| 87480 |
|
459 |
444 |
$8K |
| 87510 |
|
458 |
443 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
177 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
320 |
286 |
$4K |
| 99385 |
|
15 |
15 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$928.12 |