| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,969 |
1,811 |
$130K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
514 |
482 |
$51K |
| 76830 |
Ultrasound, transvaginal |
204 |
201 |
$21K |
| 87660 |
|
1,280 |
1,252 |
$17K |
| 87480 |
|
805 |
785 |
$11K |
| 87510 |
|
728 |
709 |
$10K |
| 59025 |
Fetal non-stress test |
74 |
40 |
$3K |
| 81002 |
|
2,278 |
1,515 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,097 |
989 |
$562.06 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
51 |
$264.87 |