| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,783 |
4,876 |
$364K |
| 76830 |
Ultrasound, transvaginal |
1,866 |
1,727 |
$219K |
| 76818 |
|
932 |
499 |
$112K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,071 |
792 |
$90K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
745 |
731 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
661 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
286 |
261 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
293 |
262 |
$33K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
12 |
$26K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,879 |
1,797 |
$25K |
| 84703 |
|
3,057 |
2,796 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
139 |
88 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
137 |
122 |
$11K |
| 99459 |
|
427 |
394 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
188 |
183 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$3K |
| 81003 |
|
2,317 |
2,122 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
21 |
19 |
$565.04 |
| 0503F |
|
91 |
63 |
$560.00 |
| H0049 |
Alcohol and/or drug screening |
36 |
27 |
$246.01 |
| 96160 |
|
15 |
15 |
$61.35 |
| 99000 |
|
444 |
432 |
$0.00 |
| 0500F |
|
197 |
181 |
$0.00 |
| 0502F |
|
154 |
108 |
$0.00 |
| 99072 |
|
89 |
78 |
$0.00 |