| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,218 |
6,061 |
$391K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,650 |
6,468 |
$214K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
548 |
521 |
$39K |
| 81002 |
|
13,615 |
9,502 |
$34K |
| 87800 |
|
1,008 |
969 |
$33K |
| 81025 |
|
1,300 |
1,197 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
111 |
103 |
$7K |
| 59430 |
|
65 |
62 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
51 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
36 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
26 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$1K |
| 76801 |
|
13 |
13 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$897.58 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$406.82 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
14 |
$406.82 |