| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,929 |
2,421 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,277 |
2,011 |
$94K |
| 99215 |
Prolong outpt/office vis |
241 |
199 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
123 |
$8K |
| 99459 |
|
203 |
193 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
86 |
84 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$963.05 |
| 81025 |
|
73 |
65 |
$410.22 |
| 99401 |
|
14 |
14 |
$239.02 |
| 82274 |
|
14 |
13 |
$159.06 |
| 81002 |
|
51 |
38 |
$127.66 |