| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,581 |
4,022 |
$406K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,659 |
5,899 |
$404K |
| 76830 |
Ultrasound, transvaginal |
3,057 |
2,714 |
$226K |
| 99215 |
Prolong outpt/office vis |
781 |
655 |
$93K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
385 |
$56K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
657 |
581 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
294 |
269 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
422 |
329 |
$24K |
| 81002 |
|
8,980 |
7,099 |
$22K |
| 99000 |
|
13,684 |
11,801 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
6,933 |
6,280 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
194 |
181 |
$17K |
| 99205 |
Prolong outpt/office vis |
74 |
71 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
338 |
304 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
66 |
63 |
$12K |
| 81025 |
|
1,647 |
1,366 |
$12K |
| 99385 |
|
116 |
108 |
$11K |
| 76801 |
|
102 |
92 |
$8K |
| 96127 |
|
411 |
366 |
$6K |
| 76813 |
|
54 |
51 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
31 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
178 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
327 |
286 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
116 |
97 |
$2K |
| 90674 |
|
39 |
39 |
$806.28 |
| 90686 |
|
49 |
48 |
$790.68 |
| 99459 |
|
27 |
14 |
$239.20 |
| 0502F |
|
31 |
12 |
$0.00 |