| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
467 |
467 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
678 |
621 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
201 |
192 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
134 |
134 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
172 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
191 |
$6K |
| 76830 |
Ultrasound, transvaginal |
37 |
36 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
127 |
$2K |
| 76801 |
|
12 |
12 |
$2K |
| 81002 |
|
611 |
607 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 81025 |
|
351 |
344 |
$823.99 |