| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
308 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
158 |
157 |
$2K |
| 51741 |
|
120 |
120 |
$1K |
| 87084 |
|
386 |
380 |
$868.32 |
| 81000 |
|
455 |
426 |
$385.68 |
| 76857 |
|
13 |
13 |
$151.45 |
| 76770 |
|
170 |
169 |
$39.09 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
33 |
33 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
108 |
102 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
38 |
38 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
31 |
30 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
27 |
27 |
$0.00 |
| 1124F |
|
13 |
13 |
$0.00 |