| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,285 |
1,012 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
268 |
$34K |
| 59510 |
|
14 |
12 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
201 |
189 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
176 |
$20K |
| 76830 |
Ultrasound, transvaginal |
121 |
113 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
133 |
131 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
88 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
103 |
$8K |
| 99460 |
|
66 |
66 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
56 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
34 |
31 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
50 |
39 |
$4K |
| 81002 |
|
1,349 |
962 |
$3K |
| 76801 |
|
26 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
107 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$1K |