| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,561 |
4,116 |
$364K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,309 |
2,308 |
$203K |
| 76830 |
Ultrasound, transvaginal |
707 |
704 |
$82K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
695 |
693 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
385 |
385 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
205 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
342 |
$19K |
| 81025 |
|
2,578 |
2,502 |
$18K |
| 99459 |
|
718 |
709 |
$16K |
| 99386 |
|
151 |
151 |
$15K |
| 99385 |
|
147 |
147 |
$14K |
| 81002 |
|
2,861 |
2,831 |
$7K |
| 87510 |
|
279 |
276 |
$5K |
| 87660 |
|
277 |
274 |
$5K |
| 87480 |
|
278 |
275 |
$5K |
| 57150 |
|
108 |
63 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
37 |
37 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
36 |
36 |
$1K |
| 99072 |
|
484 |
410 |
$540.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |