| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,115 |
7,555 |
$262K |
| 51741 |
|
5,816 |
5,632 |
$24K |
| 51798 |
|
4,599 |
4,471 |
$17K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
138 |
138 |
$5K |
| 76872 |
|
1,629 |
1,628 |
$5K |
| 81000 |
|
5,595 |
5,404 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,604 |
1,603 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
163 |
$588.86 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
77 |
$267.30 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
77 |
77 |
$0.00 |
| 52281 |
|
28 |
28 |
$0.00 |