| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,495 |
1,297 |
$75K |
| 76830 |
Ultrasound, transvaginal |
1,321 |
1,152 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
924 |
814 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,476 |
1,251 |
$55K |
| 93976 |
|
535 |
451 |
$41K |
| 99215 |
Prolong outpt/office vis |
339 |
302 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
243 |
241 |
$23K |
| 99442 |
|
506 |
459 |
$18K |
| 99205 |
Prolong outpt/office vis |
129 |
127 |
$18K |
| 99385 |
|
308 |
298 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
288 |
285 |
$15K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,130 |
1,124 |
$14K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
1,653 |
1,529 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,069 |
1,062 |
$10K |
| 93975 |
|
70 |
70 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
122 |
97 |
$5K |
| 76801 |
|
53 |
42 |
$5K |
| 99401 |
|
1,099 |
1,061 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
34 |
$3K |
| 99402 |
|
304 |
268 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
88 |
84 |
$1K |
| 99441 |
|
57 |
56 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$945.23 |
| 97802 |
|
236 |
216 |
$870.13 |
| 36415 |
Collection of venous blood by venipuncture |
701 |
628 |
$515.80 |
| 96127 |
|
380 |
379 |
$275.09 |
| 81025 |
|
104 |
97 |
$244.53 |
| 76820 |
|
40 |
26 |
$109.41 |
| 87110 |
|
66 |
65 |
$61.84 |
| 81001 |
|
12 |
12 |
$34.54 |
| 99000 |
|
401 |
388 |
$20.20 |
| 2010F |
|
28 |
21 |
$0.00 |