| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,297 |
6,493 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
600 |
460 |
$36K |
| 81003 |
|
6,627 |
4,697 |
$11K |
| H1000 |
Prenatal care, at-risk assessment |
131 |
114 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
66 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
81 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
39 |
37 |
$2K |
| 81025 |
|
286 |
257 |
$2K |
| 76830 |
Ultrasound, transvaginal |
29 |
28 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
22 |
19 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$780.10 |
| 76857 |
|
13 |
13 |
$413.38 |
| 99459 |
|
25 |
25 |
$367.01 |
| 81002 |
|
159 |
121 |
$233.33 |
| 87210 |
|
12 |
12 |
$40.03 |