| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,238 |
2,080 |
$163K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,751 |
1,731 |
$143K |
| 76818 |
|
1,230 |
570 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,536 |
1,424 |
$74K |
| 76830 |
Ultrasound, transvaginal |
865 |
855 |
$64K |
| 59025 |
Fetal non-stress test |
1,682 |
454 |
$45K |
| 59426 |
|
50 |
50 |
$42K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
475 |
434 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
425 |
422 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
3,790 |
3,214 |
$14K |
| 99205 |
Prolong outpt/office vis |
103 |
103 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
325 |
322 |
$7K |
| 76801 |
|
72 |
70 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
63 |
62 |
$5K |
| 99215 |
Prolong outpt/office vis |
42 |
38 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
36 |
$3K |
| 59430 |
|
12 |
12 |
$2K |
| 81002 |
|
663 |
610 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$572.88 |
| 99000 |
|
23 |
21 |
$0.00 |