| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,778 |
3,769 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,820 |
2,093 |
$136K |
| 93976 |
|
982 |
750 |
$82K |
| 81007 |
|
3,646 |
2,229 |
$71K |
| 76830 |
Ultrasound, transvaginal |
1,057 |
769 |
$55K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,029 |
754 |
$53K |
| 81025 |
|
4,345 |
3,221 |
$30K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
571 |
293 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
318 |
143 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
196 |
$14K |
| 76820 |
|
208 |
94 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,929 |
1,516 |
$5K |
| 99407 |
|
236 |
175 |
$5K |
| 99442 |
|
107 |
91 |
$4K |
| 81003 |
|
5,785 |
3,654 |
$4K |
| 96160 |
|
1,252 |
1,109 |
$3K |
| 96127 |
|
853 |
795 |
$3K |
| 59025 |
Fetal non-stress test |
113 |
53 |
$3K |
| 87210 |
|
582 |
480 |
$3K |
| 59430 |
|
32 |
28 |
$2K |
| 87220 |
|
612 |
506 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
34 |
28 |
$2K |
| 96103 |
|
259 |
228 |
$2K |
| 83986 |
|
574 |
474 |
$2K |
| 99459 |
|
80 |
71 |
$1K |
| 99406 |
|
77 |
53 |
$762.22 |
| 99000 |
|
200 |
156 |
$230.00 |
| 99001 |
|
2,883 |
1,738 |
$123.75 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
19 |
14 |
$108.00 |