| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,261 |
9,270 |
$1.04M |
| 76830 |
Ultrasound, transvaginal |
572 |
548 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
605 |
496 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
701 |
701 |
$53K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
353 |
352 |
$29K |
| 81002 |
|
10,285 |
7,312 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
127 |
89 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
626 |
611 |
$11K |
| 81025 |
|
1,006 |
958 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$5K |
| 90674 |
|
182 |
182 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,412 |
1,407 |
$4K |
| 76857 |
|
60 |
59 |
$3K |
| 90686 |
|
131 |
131 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,546 |
4,075 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
38 |
$640.08 |
| 90661 |
|
12 |
12 |
$442.20 |