| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
814 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,440 |
1,194 |
$117K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
150 |
90 |
$12K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,016 |
574 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
38 |
$4K |
| 81001 |
|
1,473 |
1,094 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
62 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
26 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
152 |
$2K |
| 87210 |
|
360 |
346 |
$1K |
| 81025 |
|
31 |
26 |
$116.28 |