| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,046 |
966 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
183 |
$15K |
| 99236 |
Prolong inpt eval add15 m |
60 |
59 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
101 |
88 |
$11K |
| 76830 |
Ultrasound, transvaginal |
173 |
171 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
190 |
185 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
116 |
86 |
$5K |
| 76818 |
|
28 |
16 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$2K |
| 81025 |
|
178 |
173 |
$979.98 |