| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99442 |
|
3,972 |
3,772 |
$219K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,245 |
1,245 |
$119K |
| 76830 |
Ultrasound, transvaginal |
890 |
885 |
$78K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,567 |
2,566 |
$55K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
519 |
519 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
812 |
766 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
523 |
513 |
$35K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
326 |
325 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
327 |
327 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
235 |
$19K |
| 76857 |
|
297 |
296 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
81 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
23 |
$2K |
| 76831 |
|
26 |
26 |
$2K |
| 58340 |
|
14 |
14 |
$2K |
| 99441 |
|
45 |
44 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$715.13 |
| 87073 |
|
156 |
155 |
$611.10 |
| 81025 |
|
24 |
24 |
$74.66 |
| 87071 |
|
14 |
14 |
$31.20 |
| 81002 |
|
16 |
16 |
$24.80 |