| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,067 |
3,610 |
$171K |
| 76830 |
Ultrasound, transvaginal |
1,860 |
1,622 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
686 |
$43K |
| 58662 |
|
30 |
25 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
71 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
32 |
$2K |
| 81002 |
|
2,226 |
1,384 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 17250 |
|
57 |
27 |
$455.13 |