| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,420 |
3,218 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,283 |
1,190 |
$45K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
860 |
817 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
137 |
$7K |
| 81002 |
|
3,870 |
3,560 |
$6K |
| 51798 |
|
358 |
341 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$2K |
| 76857 |
|
13 |
13 |
$286.54 |
| 81003 |
|
12 |
12 |
$19.52 |
| A4930 |
Gloves, sterile, per pair |
13 |
12 |
$3.94 |