| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,916 |
2,716 |
$216K |
| 93975 |
|
531 |
530 |
$127K |
| 76830 |
Ultrasound, transvaginal |
1,156 |
1,127 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
832 |
762 |
$85K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
445 |
445 |
$78K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,716 |
860 |
$76K |
| 99385 |
|
481 |
481 |
$52K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
964 |
946 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
330 |
$32K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
665 |
665 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
417 |
409 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
151 |
$15K |
| 93976 |
|
111 |
107 |
$15K |
| 81025 |
|
2,485 |
2,346 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
166 |
91 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$9K |
| 99490 |
Ccm add 20min |
79 |
79 |
$9K |
| 36902 |
|
15 |
14 |
$7K |
| 81002 |
|
2,798 |
2,630 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
52 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
26 |
25 |
$3K |
| 99386 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,069 |
1,027 |
$714.32 |
| 99152 |
|
28 |
26 |
$456.15 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
157 |
157 |
$416.93 |
| 83986 |
|
240 |
235 |
$268.72 |
| 81003 |
|
94 |
90 |
$146.60 |
| 93000 |
|
12 |
12 |
$142.35 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
59 |
54 |
$50.52 |
| 99000 |
|
118 |
114 |
$0.00 |
| 99001 |
|
13 |
13 |
$0.00 |