| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
803 |
$46K |
| 76830 |
Ultrasound, transvaginal |
582 |
578 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
266 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
395 |
381 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$7K |
| 99385 |
|
134 |
134 |
$6K |
| 99401 |
|
258 |
237 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
68 |
$3K |
| 99402 |
|
60 |
59 |
$2K |
| 81025 |
|
295 |
293 |
$725.68 |
| 88150 |
|
13 |
13 |
$79.20 |