| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,187 |
7,419 |
$436K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,008 |
2,613 |
$215K |
| 76830 |
Ultrasound, transvaginal |
2,029 |
1,797 |
$194K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,439 |
1,352 |
$106K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,331 |
1,270 |
$97K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
570 |
526 |
$37K |
| 99385 |
|
406 |
370 |
$32K |
| 58558 |
|
56 |
43 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
270 |
260 |
$22K |
| 81025 |
|
2,464 |
2,178 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
173 |
140 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,097 |
1,002 |
$14K |
| 59025 |
Fetal non-stress test |
202 |
62 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,812 |
1,654 |
$5K |
| 99000 |
|
3,911 |
3,316 |
$4K |
| 87210 |
|
945 |
688 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,670 |
1,380 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
41 |
$3K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
539 |
441 |
$2K |
| 87220 |
|
394 |
351 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
51 |
$989.90 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$940.34 |
| 76857 |
|
12 |
12 |
$498.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
14 |
$495.59 |
| Q0112 |
All potassium hydroxide (koh) preparations |
109 |
99 |
$320.48 |
| 81002 |
|
55 |
51 |
$142.58 |