| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,459 |
4,390 |
$253K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
117 |
110 |
$7K |
| 76830 |
Ultrasound, transvaginal |
40 |
40 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
12 |
$991.46 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$794.53 |
| 1036F |
|
2,049 |
1,732 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
119 |
103 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
59 |
52 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,531 |
2,258 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,477 |
3,021 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
520 |
422 |
$0.00 |
| 4004F |
|
32 |
30 |
$0.00 |