| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,000 |
5,155 |
$291K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
925 |
915 |
$71K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,374 |
2,346 |
$41K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,404 |
2,371 |
$32K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
40 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
183 |
179 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
217 |
215 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
231 |
226 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
132 |
128 |
$7K |
| 87110 |
|
842 |
814 |
$6K |
| 87590 |
|
817 |
797 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
90 |
89 |
$5K |
| 99385 |
|
50 |
50 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
66 |
$4K |
| 76830 |
Ultrasound, transvaginal |
53 |
53 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
536 |
503 |
$1K |
| 76801 |
|
12 |
12 |
$771.43 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,654 |
2,354 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,735 |
3,241 |
$0.00 |
| 0502F |
|
2,403 |
1,609 |
$0.00 |
| 99072 |
|
75 |
66 |
$0.00 |