| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,760 |
2,760 |
$429K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,143 |
2,130 |
$326K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,925 |
3,878 |
$224K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,756 |
4,576 |
$140K |
| 86703 |
|
4,179 |
4,177 |
$75K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,403 |
3,364 |
$73K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
769 |
764 |
$65K |
| 81025 |
|
3,649 |
3,595 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
854 |
842 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
448 |
$24K |
| 81000 |
|
710 |
705 |
$13K |
| 76830 |
Ultrasound, transvaginal |
159 |
158 |
$12K |
| 99201 |
|
45 |
45 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
44 |
$4K |
| J3490 |
Unclassified drugs |
113 |
110 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16 |
16 |
$616.16 |
| 85018 |
|
185 |
184 |
$298.56 |
| 86901 |
|
148 |
148 |
$294.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$152.40 |