| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,251 |
4,256 |
$386K |
| 76830 |
Ultrasound, transvaginal |
1,563 |
1,491 |
$184K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,345 |
1,337 |
$131K |
| 93975 |
|
622 |
591 |
$70K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
642 |
380 |
$50K |
| 99401 |
|
1,051 |
957 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
424 |
413 |
$32K |
| 76818 |
|
188 |
93 |
$22K |
| 99402 |
|
380 |
359 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
150 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
133 |
$14K |
| 81000 |
|
2,434 |
1,686 |
$10K |
| 88150 |
|
694 |
683 |
$8K |
| 59025 |
Fetal non-stress test |
170 |
67 |
$7K |
| 81025 |
|
1,064 |
1,040 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
128 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$6K |
| 99386 |
|
36 |
36 |
$5K |
| 99385 |
|
42 |
42 |
$4K |
| 96127 |
|
626 |
623 |
$3K |
| 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 |
46 |
45 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
80 |
77 |
$898.20 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
147 |
144 |
$877.64 |
| 96160 |
|
225 |
225 |
$782.13 |
| 87210 |
|
153 |
151 |
$732.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$500.41 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
48 |
$116.10 |
| 99072 |
|
157 |
139 |
$0.00 |