| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,473 |
2,311 |
$120K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
875 |
871 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,325 |
1,264 |
$94K |
| 76830 |
Ultrasound, transvaginal |
548 |
543 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
581 |
576 |
$44K |
| 99442 |
|
806 |
768 |
$43K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,863 |
1,858 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,072 |
1,009 |
$39K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
657 |
656 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
443 |
442 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
345 |
345 |
$30K |
| 99386 |
|
382 |
380 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
194 |
194 |
$15K |
| 99401 |
|
528 |
498 |
$12K |
| 99385 |
|
130 |
130 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$5K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
130 |
130 |
$4K |
| 99205 |
Prolong outpt/office vis |
19 |
19 |
$4K |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$4K |
| 81025 |
|
787 |
745 |
$3K |
| 99441 |
|
46 |
44 |
$2K |
| 57410 |
|
14 |
13 |
$1K |
| 57456 |
|
13 |
12 |
$986.47 |
| 36415 |
Collection of venous blood by venipuncture |
396 |
387 |
$514.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
24 |
$490.64 |
| 99051 |
|
91 |
86 |
$173.15 |
| 81002 |
|
53 |
53 |
$72.79 |
| 81003 |
|
32 |
32 |
$68.88 |
| 36410 |
|
27 |
27 |
$58.18 |
| 81000 |
|
13 |
13 |
$35.00 |
| 99080 |
|
99 |
17 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |