| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,057 |
6,706 |
$548K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,365 |
6,756 |
$319K |
| 76830 |
Ultrasound, transvaginal |
1,081 |
1,074 |
$96K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
957 |
956 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,009 |
1,007 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
125 |
$13K |
| 99386 |
|
107 |
107 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
129 |
119 |
$11K |
| 99385 |
|
96 |
96 |
$9K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
847 |
509 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
39 |
$5K |
| 88174 |
|
201 |
201 |
$4K |
| 81000 |
|
1,242 |
829 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$3K |
| 96160 |
|
561 |
561 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
28 |
$2K |
| 81025 |
|
381 |
379 |
$2K |
| 76813 |
|
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$640.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
44 |
$532.69 |
| 36415 |
Collection of venous blood by venipuncture |
582 |
520 |
$465.54 |
| 99000 |
|
1,160 |
1,088 |
$328.20 |
| 1159F |
|
231 |
200 |
$0.00 |
| 1160F |
|
117 |
115 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
272 |
227 |
$0.00 |
| 1036F |
|
335 |
260 |
$0.00 |