| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,895 |
13,021 |
$1.20M |
| 76830 |
Ultrasound, transvaginal |
8,025 |
7,356 |
$700K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
6,920 |
6,396 |
$465K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,690 |
3,483 |
$457K |
| 93975 |
|
2,139 |
2,103 |
$313K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,686 |
2,682 |
$281K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,373 |
2,371 |
$255K |
| 99385 |
|
1,378 |
1,377 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
764 |
764 |
$127K |
| 81025 |
|
19,636 |
17,400 |
$70K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
535 |
535 |
$58K |
| 76377 |
|
2,027 |
2,010 |
$48K |
| 88174 |
|
1,998 |
1,997 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
844 |
822 |
$38K |
| 99401 |
|
2,693 |
2,548 |
$29K |
| 81000 |
|
5,204 |
4,835 |
$18K |
| 99386 |
|
98 |
98 |
$12K |
| 88141 |
|
526 |
524 |
$12K |
| 96127 |
|
1,503 |
1,449 |
$8K |
| 57454 |
|
31 |
31 |
$6K |
| 96160 |
|
1,405 |
1,396 |
$5K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
293 |
293 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
6,452 |
6,004 |
$3K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
312 |
312 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
829 |
828 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
39 |
$1K |
| 99402 |
|
117 |
112 |
$937.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
43 |
$648.89 |
| 76820 |
|
29 |
16 |
$258.44 |
| 88150 |
|
18 |
18 |
$257.52 |
| 87210 |
|
55 |
55 |
$211.06 |
| 99072 |
|
636 |
531 |
$0.00 |