| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,031 |
2,734 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,727 |
1,641 |
$105K |
| 76830 |
Ultrasound, transvaginal |
1,339 |
1,276 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
920 |
917 |
$75K |
| 59426 |
|
83 |
83 |
$61K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
541 |
480 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
359 |
352 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
176 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
123 |
123 |
$10K |
| 59430 |
|
61 |
61 |
$10K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
310 |
288 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
15 |
$998.14 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$806.75 |
| 54150 |
|
12 |
12 |
$687.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$360.33 |
| 81025 |
|
56 |
54 |
$304.24 |
| 0503F |
|
40 |
40 |
$0.04 |
| 0502F |
|
1,146 |
838 |
$0.00 |