| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,365 |
5,785 |
$428K |
| 76830 |
Ultrasound, transvaginal |
1,808 |
1,570 |
$167K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
868 |
867 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
400 |
400 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
163 |
149 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$4K |
| 99385 |
|
13 |
13 |
$735.83 |
| 81002 |
|
403 |
400 |
$676.92 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
87 |
$154.02 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
25 |
$138.48 |
| 81025 |
|
28 |
28 |
$103.41 |