| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
429 |
417 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
814 |
582 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
366 |
348 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
219 |
197 |
$16K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
291 |
252 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
408 |
399 |
$8K |
| T1001 |
Nursing assessment / evaluation |
48 |
47 |
$8K |
| 76830 |
Ultrasound, transvaginal |
78 |
77 |
$6K |
| 81025 |
|
453 |
433 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
154 |
152 |
$4K |
| 76801 |
|
39 |
39 |
$3K |
| 0502F |
|
251 |
160 |
$3K |
| 99385 |
|
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$467.28 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
28 |
24 |
$419.25 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
222 |
222 |
$0.00 |
| T5999 |
Supply, not otherwise specified |
13 |
12 |
$0.00 |