| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,040 |
2,684 |
$646K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,977 |
3,975 |
$506K |
| 76830 |
Ultrasound, transvaginal |
3,529 |
3,508 |
$420K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,334 |
3,960 |
$397K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,494 |
2,494 |
$296K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
778 |
465 |
$86K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
136 |
135 |
$12K |
| 99215 |
Prolong outpt/office vis |
65 |
65 |
$11K |
| 99386 |
|
51 |
51 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
49 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
43 |
43 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
28 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
51 |
38 |
$2K |
| 81025 |
|
127 |
126 |
$902.10 |
| 36415 |
Collection of venous blood by venipuncture |
257 |
241 |
$821.70 |