| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
767 |
684 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
104 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
82 |
73 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
66 |
66 |
$4K |
| 76830 |
Ultrasound, transvaginal |
57 |
56 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
86 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
610 |
520 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 81002 |
|
272 |
234 |
$526.82 |
| 81025 |
|
69 |
67 |
$352.08 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$325.48 |