| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
354 |
$24K |
| 76830 |
Ultrasound, transvaginal |
384 |
335 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
348 |
310 |
$17K |
| 59426 |
|
16 |
15 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
457 |
402 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
80 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
143 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
26 |
26 |
$2K |
| 59025 |
Fetal non-stress test |
26 |
12 |
$1K |
| 81025 |
|
175 |
159 |
$972.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
54 |
$711.88 |
| 81002 |
|
626 |
589 |
$2.44 |