| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,580 |
3,211 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
265 |
$3K |
| 51741 |
|
2,220 |
2,128 |
$2K |
| 51798 |
|
2,490 |
2,369 |
$2K |
| 76770 |
|
161 |
161 |
$774.85 |
| 52000 |
|
52 |
51 |
$376.06 |
| 93976 |
|
13 |
13 |
$307.17 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
40 |
$265.93 |
| 76872 |
|
15 |
15 |
$262.08 |
| 51784 |
|
29 |
29 |
$205.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$143.90 |
| 81000 |
|
2,015 |
1,917 |
$67.66 |
| 36415 |
Collection of venous blood by venipuncture |
195 |
194 |
$2.40 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,492 |
1,489 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
152 |
150 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
153 |
150 |
$0.00 |
| 1090F |
|
85 |
85 |
$0.00 |