| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,919 |
6,446 |
$448K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,231 |
1,786 |
$133K |
| 81002 |
|
13,402 |
6,700 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
619 |
491 |
$13K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
2,886 |
2,518 |
$13K |
| 84703 |
|
2,936 |
2,380 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
536 |
427 |
$11K |
| 59025 |
Fetal non-stress test |
451 |
225 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
28 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
406 |
346 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,899 |
2,433 |
$2K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
28 |
28 |
$950.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
17 |
$798.00 |
| 59426 |
|
169 |
164 |
$491.00 |
| 82950 |
|
84 |
79 |
$468.00 |
| 85018 |
|
318 |
280 |
$434.52 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
29 |
$58.00 |
| 59514 |
|
12 |
12 |
$0.00 |