| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
999 |
716 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
434 |
204 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
488 |
444 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
68 |
$6K |
| 0500F |
|
16 |
13 |
$617.40 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
12 |
$563.50 |
| 80305 |
|
44 |
38 |
$377.16 |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$323.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$162.87 |