| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,242 |
1,875 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
499 |
452 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
203 |
171 |
$10K |
| 83986 |
|
2,866 |
2,426 |
$7K |
| 76830 |
Ultrasound, transvaginal |
118 |
106 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
67 |
55 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
144 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$879.68 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$598.00 |
| 81025 |
|
123 |
99 |
$527.68 |
| 84703 |
|
26 |
25 |
$179.50 |
| 81002 |
|
696 |
557 |
$67.36 |
| 99000 |
|
42 |
40 |
$0.00 |