| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,652 |
5,757 |
$190K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
67 |
65 |
$113K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
638 |
557 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
358 |
355 |
$24K |
| 76801 |
|
304 |
293 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
189 |
$14K |
| 81025 |
|
752 |
733 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
152 |
151 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,967 |
1,803 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$5K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
56 |
56 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$381.18 |