| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,540 |
3,601 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,167 |
$81K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
815 |
780 |
$62K |
| 76830 |
Ultrasound, transvaginal |
659 |
651 |
$58K |
| 99215 |
Prolong outpt/office vis |
121 |
105 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
151 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
91 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$770.84 |
| 0502F |
|
1,739 |
900 |
$0.00 |