| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,339 |
1,261 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
494 |
493 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
149 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
71 |
71 |
$5K |
| 76830 |
Ultrasound, transvaginal |
42 |
40 |
$3K |
| 99385 |
|
12 |
12 |
$898.44 |
| 99459 |
|
12 |
12 |
$152.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$103.28 |
| 81002 |
|
45 |
44 |
$102.52 |
| 81025 |
|
17 |
17 |
$63.07 |
| 87210 |
|
17 |
16 |
$57.48 |
| 83986 |
|
17 |
16 |
$48.42 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
50 |
46 |
$0.00 |