| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,006 |
1,886 |
$176K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
654 |
653 |
$78K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
374 |
362 |
$34K |
| 76830 |
Ultrasound, transvaginal |
408 |
398 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
150 |
$20K |
| 76818 |
|
104 |
85 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
89 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
39 |
$5K |
| 81002 |
|
1,836 |
1,819 |
$3K |
| 90715 |
|
33 |
33 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
51 |
$761.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$756.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$202.47 |
| 81025 |
|
65 |
65 |
$128.56 |
| 96161 |
|
12 |
12 |
$42.84 |
| 99000 |
|
17 |
17 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
26 |
$0.00 |