| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,066 |
7,279 |
$801K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,785 |
3,507 |
$481K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,517 |
2,149 |
$217K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
343 |
304 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
299 |
283 |
$32K |
| 76830 |
Ultrasound, transvaginal |
363 |
305 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
390 |
324 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
439 |
384 |
$22K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
428 |
333 |
$11K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,411 |
1,236 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,529 |
1,361 |
$8K |
| 99385 |
|
86 |
66 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
69 |
59 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,129 |
2,391 |
$6K |
| 99442 |
|
281 |
233 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
30 |
27 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
45 |
$4K |
| 99386 |
|
12 |
12 |
$1K |
| 76801 |
|
25 |
18 |
$509.90 |
| 99443 |
|
20 |
15 |
$285.09 |
| 0503F |
|
83 |
70 |
$280.10 |
| 3008F |
|
61 |
50 |
$115.00 |
| 0500F |
|
113 |
93 |
$0.01 |
| 0502F |
|
4,416 |
2,280 |
$0.00 |
| 1159F |
|
15 |
13 |
$0.00 |
| 1160F |
|
15 |
13 |
$0.00 |
| 3078F |
|
34 |
30 |
$0.00 |
| 3074F |
|
44 |
36 |
$0.00 |
| 99024 |
|
14 |
12 |
$0.00 |
| 1125F |
|
23 |
17 |
$0.00 |