| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,888 |
1,695 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,126 |
1,905 |
$134K |
| 76830 |
Ultrasound, transvaginal |
516 |
471 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
362 |
344 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
337 |
302 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
9,701 |
7,298 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
68 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
41 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
255 |
243 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
30 |
$2K |
| 58300 |
|
25 |
25 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 90688 |
|
83 |
81 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 90715 |
|
33 |
29 |
$1K |
| 99442 |
|
16 |
12 |
$835.23 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$793.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$596.64 |
| 81025 |
|
52 |
50 |
$271.35 |
| 87210 |
|
12 |
12 |
$49.28 |
| 87220 |
|
12 |
12 |
$45.10 |