| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,073 |
28,877 |
$4.43M |
| 59430 |
|
322 |
226 |
$6K |
| 0503F |
|
1,838 |
1,345 |
$5K |
| 0502F |
|
22,474 |
10,699 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,441 |
967 |
$2K |
| 0500F |
|
2,727 |
1,893 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,294 |
901 |
$264.60 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,362 |
724 |
$148.12 |
| 76830 |
Ultrasound, transvaginal |
1,072 |
673 |
$107.85 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,797 |
1,157 |
$71.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,422 |
6,941 |
$59.54 |
| 76801 |
|
1,026 |
718 |
$35.95 |
| 81025 |
|
3,803 |
3,004 |
$2.71 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
366 |
200 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
132 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,806 |
3,755 |
$0.00 |
| 96127 |
|
1,461 |
1,116 |
$0.00 |
| 99385 |
|
16 |
13 |
$0.00 |
| 99459 |
|
101 |
85 |
$0.00 |
| 76820 |
|
66 |
27 |
$0.00 |
| 82105 |
|
129 |
26 |
$0.00 |
| 58300 |
|
13 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,925 |
1,422 |
$0.00 |
| 59025 |
Fetal non-stress test |
1,152 |
351 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,908 |
1,433 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
312 |
282 |
$0.00 |
| 81002 |
|
29 |
14 |
$0.00 |
| 96160 |
|
557 |
524 |
$0.00 |
| 76818 |
|
84 |
37 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
117 |
$0.00 |
| 76857 |
|
13 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$0.00 |