| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,491 |
3,916 |
$203K |
| 76830 |
Ultrasound, transvaginal |
156 |
151 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
159 |
154 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
199 |
197 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
198 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
73 |
35 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
238 |
$7K |
| 81025 |
|
1,974 |
1,765 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
107 |
$6K |
| 99385 |
|
71 |
71 |
$3K |
| 93976 |
|
38 |
38 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
73 |
35 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
16 |
$1K |
| 81002 |
|
1,190 |
1,107 |
$1K |
| 76820 |
|
19 |
16 |
$939.96 |
| 99386 |
|
12 |
12 |
$461.89 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$429.00 |