| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
1,983 |
1,948 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,290 |
3,034 |
$348K |
| 76830 |
Ultrasound, transvaginal |
4,056 |
4,015 |
$276K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,255 |
3,222 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,123 |
1,847 |
$151K |
| 93976 |
|
2,376 |
2,274 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
571 |
571 |
$83K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
713 |
711 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
244 |
244 |
$24K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
573 |
573 |
$21K |
| 99385 |
|
169 |
169 |
$20K |
| 99402 |
|
860 |
780 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
146 |
146 |
$16K |
| 99215 |
Prolong outpt/office vis |
89 |
87 |
$14K |
| 99401 |
|
2,054 |
1,720 |
$11K |
| 99459 |
|
441 |
427 |
$9K |
| 88150 |
|
469 |
459 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
64 |
49 |
$5K |
| 81002 |
|
2,413 |
2,307 |
$4K |
| 81003 |
|
2,760 |
2,542 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
33 |
25 |
$3K |
| 81025 |
|
1,174 |
1,144 |
$2K |
| 99386 |
|
15 |
15 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
557 |
556 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,325 |
2,228 |
$217.98 |
| 99000 |
|
2,345 |
2,241 |
$12.59 |