| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
509 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
412 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
167 |
$13K |
| 59426 |
|
14 |
14 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
124 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
374 |
371 |
$10K |
| 76801 |
|
139 |
118 |
$10K |
| 59430 |
|
38 |
38 |
$9K |
| 59425 |
|
13 |
13 |
$7K |
| 76830 |
Ultrasound, transvaginal |
69 |
67 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
45 |
$4K |
| 99386 |
|
15 |
15 |
$2K |