| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,575 |
5,876 |
$583K |
| 76830 |
Ultrasound, transvaginal |
4,180 |
3,823 |
$466K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,567 |
2,423 |
$325K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,228 |
3,869 |
$323K |
| 93975 |
|
935 |
929 |
$226K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,641 |
1,639 |
$158K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
932 |
932 |
$154K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
875 |
874 |
$94K |
| 81025 |
|
11,133 |
9,736 |
$66K |
| 99385 |
|
599 |
599 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
383 |
383 |
$40K |
| 76377 |
|
1,028 |
1,016 |
$19K |
| 96127 |
|
1,444 |
1,400 |
$7K |
| 57454 |
|
40 |
40 |
$7K |
| 99386 |
|
53 |
53 |
$6K |
| 88141 |
|
266 |
265 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,080 |
1,012 |
$3K |
| 99401 |
|
165 |
154 |
$3K |
| 81000 |
|
949 |
911 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
83 |
83 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
82 |
82 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
34 |
34 |
$992.44 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
53 |
53 |
$946.43 |
| 80053 |
Comprehensive metabolic panel |
77 |
77 |
$677.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
65 |
65 |
$551.65 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
60 |
60 |
$508.74 |
| 88174 |
|
15 |
15 |
$192.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$160.20 |
| 99072 |
|
163 |
137 |
$102.01 |
| 88150 |
|
85 |
84 |
$10.61 |
| 99429 |
|
16 |
12 |
$0.00 |