| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,152 |
6,351 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
1,707 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,004 |
801 |
$106K |
| 59425 |
|
887 |
413 |
$83K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,147 |
1,586 |
$24K |
| 59430 |
|
478 |
275 |
$22K |
| 59410 |
|
54 |
25 |
$16K |
| 59426 |
|
64 |
25 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
81 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
25 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
27 |
$3K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
196 |
122 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
101 |
52 |
$198.96 |
| 81000 |
|
1,796 |
1,027 |
$133.60 |
| 81025 |
|
1,456 |
1,151 |
$8.61 |
| 81002 |
|
2,222 |
1,622 |
$4.18 |
| 99000 |
|
520 |
361 |
$0.00 |
| 1126F |
|
1,574 |
1,098 |
$0.00 |
| 3008F |
|
2,155 |
1,489 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
870 |
724 |
$0.00 |
| 3075F |
|
205 |
126 |
$0.00 |
| 3079F |
|
547 |
379 |
$0.00 |
| 85027 |
|
110 |
76 |
$0.00 |
| 3074F |
|
1,204 |
847 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
106 |
69 |
$0.00 |
| 3080F |
|
261 |
166 |
$0.00 |
| 1125F |
|
71 |
43 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
88 |
51 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
109 |
97 |
$0.00 |
| 3725F |
|
2,092 |
1,430 |
$0.00 |
| 1160F |
|
2,086 |
1,428 |
$0.00 |
| 3078F |
|
840 |
582 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
59 |
52 |
$0.00 |
| 1159F |
|
2,088 |
1,429 |
$0.00 |
| 3077F |
|
206 |
121 |
$0.00 |