| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,278 |
2,017 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
693 |
$33K |
| 76830 |
Ultrasound, transvaginal |
196 |
186 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
1,616 |
1,570 |
$6K |
| 99385 |
|
135 |
135 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
39 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
70 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$822.58 |
| 87110 |
|
77 |
76 |
$520.22 |
| 87106 |
|
82 |
81 |
$374.92 |
| 87081 |
|
446 |
410 |
$279.60 |
| 81025 |
|
24 |
24 |
$82.68 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
471 |
451 |
$50.96 |
| 99459 |
|
19 |
17 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |
| 99072 |
|
277 |
243 |
$0.00 |