| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,918 |
11,501 |
$904K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,275 |
7,994 |
$868K |
| 76830 |
Ultrasound, transvaginal |
8,802 |
8,365 |
$727K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
9,092 |
8,692 |
$655K |
| 99442 |
|
6,722 |
6,254 |
$435K |
| 99215 |
Prolong outpt/office vis |
3,286 |
2,837 |
$429K |
| 99385 |
|
3,144 |
3,144 |
$301K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,713 |
1,711 |
$223K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,467 |
2,461 |
$212K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
7,725 |
7,698 |
$197K |
| 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 |
13,262 |
12,220 |
$191K |
| 93976 |
|
2,883 |
2,711 |
$183K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,963 |
1,958 |
$177K |
| 99401 |
|
8,063 |
7,885 |
$142K |
| 93975 |
|
820 |
802 |
$140K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,884 |
1,683 |
$128K |
| 99441 |
|
2,193 |
2,108 |
$86K |
| 99205 |
Prolong outpt/office vis |
500 |
500 |
$85K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
903 |
796 |
$76K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
6,596 |
6,578 |
$71K |
| 76820 |
|
1,999 |
1,639 |
$66K |
| 99402 |
|
2,039 |
1,885 |
$62K |
| 99386 |
|
516 |
516 |
$59K |
| 76801 |
|
595 |
531 |
$49K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
710 |
637 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
388 |
387 |
$38K |
| 57454 |
|
143 |
142 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
217 |
179 |
$15K |
| 76813 |
|
127 |
127 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
76 |
75 |
$11K |
| 59430 |
|
53 |
51 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
6,356 |
5,974 |
$9K |
| 96127 |
|
4,228 |
4,216 |
$8K |
| 81025 |
|
1,899 |
1,853 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
115 |
$5K |
| 58301 |
|
44 |
43 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
421 |
409 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
31 |
$2K |
| 99417 |
Prolong home eval add 15m |
109 |
108 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
71 |
51 |
$2K |
| 87110 |
|
64 |
64 |
$419.58 |
| 86480 |
|
28 |
27 |
$328.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
68 |
68 |
$293.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$281.56 |
| 57452 |
|
112 |
112 |
$281.03 |
| 97802 |
|
921 |
848 |
$266.07 |
| 36410 |
|
101 |
91 |
$187.15 |
| 81001 |
|
89 |
87 |
$138.60 |
| 99000 |
|
3,424 |
3,337 |
$113.73 |
| 57455 |
|
98 |
98 |
$0.00 |
| 2010F |
|
178 |
157 |
$0.00 |