| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,999 |
1,960 |
$96K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,159 |
1,152 |
$95K |
| 59426 |
|
27 |
26 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
203 |
203 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
2,568 |
2,313 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
86 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$6K |
| 99459 |
|
343 |
339 |
$5K |
| 59430 |
|
12 |
12 |
$3K |
| 59025 |
Fetal non-stress test |
51 |
25 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
112 |
110 |
$944.74 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$939.31 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
46 |
46 |
$701.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$506.25 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$373.17 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
51 |
51 |
$175.28 |
| 3078F |
|
2,610 |
2,281 |
$0.00 |
| 1159F |
|
2,451 |
2,074 |
$0.00 |
| 1160F |
|
2,449 |
2,072 |
$0.00 |
| 3077F |
|
30 |
29 |
$0.00 |
| 3079F |
|
656 |
620 |
$0.00 |
| 3074F |
|
2,720 |
2,389 |
$0.00 |
| 1036F |
|
2,947 |
2,470 |
$0.00 |
| 1034F |
|
300 |
266 |
$0.00 |
| 3008F |
|
3,127 |
2,805 |
$0.00 |
| 3075F |
|
397 |
378 |
$0.00 |
| 1035F |
|
12 |
12 |
$0.00 |