| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,024 |
2,482 |
$505K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,935 |
3,577 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,696 |
1,029 |
$171K |
| 76830 |
Ultrasound, transvaginal |
1,008 |
1,006 |
$130K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
858 |
858 |
$99K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
437 |
437 |
$55K |
| 59430 |
|
78 |
78 |
$15K |
| 81025 |
|
1,405 |
1,348 |
$10K |
| 99221 |
|
53 |
53 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
52 |
52 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
38 |
37 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
86 |
64 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
15 |
$2K |
| 87210 |
|
162 |
154 |
$501.86 |