| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,385 |
2,060 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,404 |
1,252 |
$96K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,323 |
1,573 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
280 |
260 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
122 |
113 |
$10K |
| 87210 |
|
1,593 |
1,414 |
$7K |
| 76830 |
Ultrasound, transvaginal |
30 |
30 |
$3K |
| 99218 |
|
40 |
37 |
$3K |
| 81025 |
|
284 |
250 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$2K |
| 54150 |
|
38 |
27 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
88 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$849.85 |
| 59025 |
Fetal non-stress test |
17 |
13 |
$468.48 |
| 81002 |
|
193 |
169 |
$462.27 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
90 |
62 |
$0.00 |
| 1036F |
|
112 |
84 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
125 |
85 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
88 |
75 |
$0.00 |