| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,780 |
3,777 |
$330K |
| 59426 |
|
194 |
100 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
114 |
$12K |
| 81002 |
|
5,364 |
3,789 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
724 |
723 |
$7K |
| 76830 |
Ultrasound, transvaginal |
74 |
73 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,504 |
1,376 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
102 |
$924.47 |
| 90686 |
|
27 |
27 |
$585.44 |
| 90674 |
|
15 |
15 |
$441.19 |
| 81025 |
|
41 |
40 |
$68.80 |