| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,167 |
3,830 |
$403K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,673 |
3,722 |
$302K |
| 93975 |
|
1,757 |
1,723 |
$279K |
| 76830 |
Ultrasound, transvaginal |
2,397 |
2,246 |
$198K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,274 |
1,247 |
$81K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
159 |
158 |
$15K |
| 81003 |
|
3,564 |
2,904 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
33 |
$3K |
| 88141 |
|
288 |
286 |
$3K |
| 99401 |
|
109 |
105 |
$2K |
| 81000 |
|
887 |
799 |
$2K |
| 81002 |
|
1,386 |
1,337 |
$2K |
| 87210 |
|
622 |
579 |
$2K |
| 96127 |
|
369 |
368 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
235 |
233 |
$1K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
546 |
495 |
$728.64 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$403.26 |
| 88150 |
|
48 |
46 |
$372.38 |
| 88174 |
|
25 |
25 |
$247.39 |
| 36415 |
Collection of venous blood by venipuncture |
633 |
547 |
$100.33 |
| 36410 |
|
58 |
52 |
$51.06 |
| 81025 |
|
16 |
16 |
$46.98 |