| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,443 |
3,442 |
$542K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,809 |
2,798 |
$428K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,139 |
5,088 |
$311K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,970 |
6,749 |
$208K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,926 |
2,847 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,735 |
1,725 |
$146K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,714 |
1,681 |
$144K |
| 86703 |
|
6,484 |
6,482 |
$117K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
5,268 |
5,187 |
$113K |
| 81025 |
|
7,384 |
7,235 |
$81K |
| 81000 |
|
2,420 |
2,393 |
$44K |
| 99201 |
|
249 |
249 |
$36K |
| 76830 |
Ultrasound, transvaginal |
358 |
353 |
$27K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
26 |
26 |
$15K |
| 58300 |
|
41 |
40 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
39 |
39 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
211 |
211 |
$1K |
| 85018 |
|
534 |
528 |
$1K |
| 11981 |
|
12 |
12 |
$1K |
| 86901 |
|
418 |
416 |
$834.00 |
| J3490 |
Unclassified drugs |
66 |
65 |
$590.70 |