| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,105 |
2,035 |
$105K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
716 |
716 |
$46K |
| 76830 |
Ultrasound, transvaginal |
75 |
75 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$1K |
| 99385 |
|
12 |
12 |
$711.48 |
| 99441 |
|
12 |
12 |
$198.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$143.80 |
| 81025 |
|
57 |
56 |
$137.73 |
| 87210 |
|
16 |
16 |
$61.76 |
| 81002 |
|
26 |
26 |
$50.93 |