| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,225 |
1,430 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
597 |
382 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
216 |
$22K |
| 59514 |
|
13 |
12 |
$10K |
| 76830 |
Ultrasound, transvaginal |
70 |
68 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
26 |
$2K |
| 54150 |
|
12 |
12 |
$930.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$692.30 |
| 81002 |
|
48 |
46 |
$119.60 |
| 81025 |
|
34 |
31 |
$87.72 |