| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,132 |
2,901 |
$145K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
804 |
801 |
$65K |
| 59426 |
|
25 |
24 |
$20K |
| 76830 |
Ultrasound, transvaginal |
215 |
214 |
$16K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
843 |
837 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
1,282 |
1,226 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
49 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
36 |
$2K |
| 81025 |
|
373 |
353 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
45 |
40 |
$2K |
| 81002 |
|
40 |
37 |
$38.86 |
| 3078F |
|
31 |
31 |
$0.00 |
| 3074F |
|
36 |
36 |
$0.00 |
| 3008F |
|
1,462 |
1,383 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
725 |
690 |
$0.00 |