| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,197 |
3,673 |
$362K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,881 |
2,462 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
388 |
264 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
430 |
370 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
160 |
145 |
$18K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
723 |
487 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
706 |
475 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
105 |
94 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
153 |
100 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
196 |
192 |
$2K |
| 99386 |
|
14 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |