| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,093 |
5,707 |
$291K |
| 76830 |
Ultrasound, transvaginal |
979 |
950 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,050 |
968 |
$75K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
852 |
833 |
$69K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
726 |
661 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
436 |
428 |
$30K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
713 |
581 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
137 |
$14K |
| 76818 |
|
103 |
55 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
64 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
69 |
49 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$2K |
| 76813 |
|
13 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$1K |
| 81025 |
|
126 |
120 |
$807.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$677.30 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$626.24 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
13 |
$546.35 |
| 90686 |
|
14 |
12 |
$247.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$126.94 |