| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,270 |
1,056 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
555 |
449 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
114 |
95 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
120 |
95 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
93 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
50 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
30 |
30 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
13 |
$1K |
| 81025 |
|
14 |
13 |
$47.52 |
| 81002 |
|
45 |
32 |
$33.25 |
| 0500F |
|
41 |
24 |
$0.00 |