| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
522 |
390 |
$35K |
| 76830 |
Ultrasound, transvaginal |
114 |
113 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
158 |
120 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
86 |
86 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
34 |
$4K |
| 76818 |
|
36 |
27 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
45 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
41 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
24 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
22 |
$2K |
| 99385 |
|
18 |
18 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 76820 |
|
42 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 81025 |
|
157 |
154 |
$1K |
| 81002 |
|
152 |
150 |
$240.79 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
104 |
$59.15 |
| 99000 |
|
94 |
94 |
$0.00 |