| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,947 |
2,343 |
$133K |
| 59426 |
|
1,579 |
717 |
$123K |
| 59425 |
|
1,422 |
941 |
$106K |
| 59410 |
|
178 |
126 |
$92K |
| 76818 |
|
1,027 |
517 |
$74K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
626 |
591 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
443 |
394 |
$38K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
588 |
489 |
$38K |
| 81025 |
|
2,438 |
2,216 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
204 |
165 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
182 |
101 |
$11K |
| 59515 |
|
19 |
12 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
156 |
$11K |
| 76801 |
|
91 |
78 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
124 |
97 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
165 |
128 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
653 |
531 |
$5K |
| 81002 |
|
2,237 |
1,589 |
$3K |
| 59430 |
|
34 |
28 |
$1K |
| 87081 |
|
76 |
66 |
$255.94 |
| 88150 |
|
23 |
21 |
$244.98 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
104 |
94 |
$96.24 |
| 82947 |
|
16 |
12 |
$35.15 |