| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,118 |
4,864 |
$172K |
| 76830 |
Ultrasound, transvaginal |
1,613 |
1,573 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,407 |
1,352 |
$107K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
69 |
63 |
$100K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
869 |
856 |
$68K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,602 |
1,440 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
390 |
385 |
$35K |
| 99205 |
Prolong outpt/office vis |
280 |
268 |
$35K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
424 |
402 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
250 |
246 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
418 |
370 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
245 |
237 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
137 |
133 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
176 |
$13K |
| 81025 |
|
1,381 |
1,313 |
$8K |
| 76801 |
|
53 |
52 |
$5K |
| 76813 |
|
52 |
51 |
$5K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
137 |
$3K |
| 90688 |
|
169 |
163 |
$3K |
| 99000 |
|
2,008 |
1,787 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
143 |
134 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
514 |
477 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
49 |
45 |
$1K |
| 58300 |
|
13 |
13 |
$802.39 |
| 81002 |
|
161 |
153 |
$474.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$455.02 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$191.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$168.10 |