| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,469 |
1,214 |
$63K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
78 |
66 |
$5K |
| 99385 |
|
60 |
54 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
73 |
$4K |
| 99000 |
|
1,449 |
1,187 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
69 |
$3K |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
31 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
30 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 96127 |
|
524 |
263 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
33 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
15 |
$2K |
| 81002 |
|
680 |
481 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
69 |
$923.05 |
| 90674 |
|
41 |
37 |
$571.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
15 |
$470.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
62 |
$173.22 |