| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,972 |
2,527 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,755 |
1,515 |
$99K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
664 |
599 |
$65K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
644 |
603 |
$61K |
| 99215 |
Prolong outpt/office vis |
581 |
483 |
$45K |
| 76830 |
Ultrasound, transvaginal |
356 |
335 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
242 |
219 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
243 |
221 |
$26K |
| 76801 |
|
258 |
216 |
$24K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
885 |
841 |
$13K |
| 81025 |
|
2,571 |
2,239 |
$10K |
| 99205 |
Prolong outpt/office vis |
75 |
69 |
$10K |
| 59430 |
|
104 |
101 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
57 |
$7K |
| 99459 |
|
333 |
292 |
$6K |
| 87149 |
|
643 |
576 |
$5K |
| 81002 |
|
2,351 |
1,658 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
105 |
100 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
16 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 0503F |
|
104 |
99 |
$860.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$468.58 |
| 96160 |
|
29 |
27 |
$111.62 |
| 0500F |
|
145 |
127 |
$100.00 |
| 81005 |
|
136 |
87 |
$78.87 |
| 84703 |
|
16 |
12 |
$28.41 |
| 81007 |
|
52 |
42 |
$21.45 |
| 99001 |
|
2,221 |
1,874 |
$0.97 |
| 99000 |
|
54 |
50 |
$0.00 |
| 0501F |
|
72 |
63 |
$0.00 |
| 0502F |
|
2,476 |
1,549 |
$0.00 |