| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
908 |
$47K |
| 93975 |
|
244 |
207 |
$25K |
| 76830 |
Ultrasound, transvaginal |
366 |
311 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
243 |
210 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$911.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$729.69 |
| 81000 |
|
808 |
557 |
$710.27 |
| 96160 |
|
108 |
106 |
$230.13 |
| 88174 |
|
72 |
69 |
$201.50 |
| 87210 |
|
12 |
12 |
$44.17 |
| 88141 |
|
15 |
14 |
$38.31 |
| 0502F |
|
367 |
231 |
$0.00 |
| 99072 |
|
29 |
26 |
$0.00 |