| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,909 |
1,350 |
$61K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
71 |
67 |
$4K |
| 81025 |
|
522 |
490 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$3K |
| 81000 |
|
2,102 |
1,525 |
$2K |
| 59430 |
|
15 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$687.10 |
| 81002 |
|
26 |
25 |
$0.00 |