| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,370 |
2,845 |
$312K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,187 |
1,186 |
$153K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
874 |
873 |
$75K |
| 99201 |
|
528 |
494 |
$62K |
| A4267 |
Contraceptive supply, condom, male, each |
3,243 |
3,228 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
1,453 |
1,443 |
$41K |
| 76641 |
|
100 |
100 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
81 |
81 |
$6K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
453 |
453 |
$6K |
| 72110 |
|
39 |
39 |
$2K |
| 73630 |
|
13 |
13 |
$328.86 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
27 |
25 |
$33.06 |