| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
6,717 |
3,580 |
$341K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,551 |
3,431 |
$287K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
682 |
649 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
517 |
232 |
$44K |
| 59025 |
Fetal non-stress test |
1,243 |
464 |
$42K |
| 76830 |
Ultrasound, transvaginal |
247 |
242 |
$18K |
| 0500F |
|
242 |
201 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
130 |
117 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
106 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
101 |
$8K |
| 93975 |
|
31 |
30 |
$5K |
| 76801 |
|
30 |
28 |
$2K |
| 99072 |
|
614 |
465 |
$2K |
| 0503F |
|
22 |
19 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$460.80 |