| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,705 |
5,800 |
$518K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,122 |
1,011 |
$110K |
| 76830 |
Ultrasound, transvaginal |
998 |
865 |
$76K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
506 |
321 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
141 |
$16K |
| 81025 |
|
2,583 |
2,287 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
314 |
244 |
$13K |
| 81002 |
|
1,330 |
847 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
205 |
186 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
39 |
39 |
$21.00 |