| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,185 |
2,534 |
$542K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,795 |
1,678 |
$155K |
| 76830 |
Ultrasound, transvaginal |
1,244 |
1,226 |
$147K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,508 |
1,154 |
$132K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
81 |
$10K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
64 |
64 |
$7K |
| 87210 |
|
317 |
316 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
68 |
67 |
$40.10 |