| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,320 |
2,938 |
$248K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
584 |
316 |
$69K |
| 58558 |
|
33 |
33 |
$46K |
| 76830 |
Ultrasound, transvaginal |
386 |
385 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
322 |
322 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251 |
235 |
$26K |
| 99386 |
|
199 |
199 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
230 |
229 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
181 |
$17K |
| 58340 |
|
70 |
70 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
96 |
52 |
$11K |
| 99385 |
|
83 |
83 |
$8K |
| 76831 |
|
70 |
70 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
65 |
$5K |
| 64435 |
|
18 |
18 |
$0.00 |