| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,362 |
1,792 |
$226K |
| 59426 |
|
3,073 |
975 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,275 |
2,311 |
$180K |
| 76830 |
Ultrasound, transvaginal |
563 |
450 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
244 |
211 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
319 |
194 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
208 |
113 |
$17K |
| 81002 |
|
3,628 |
1,653 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
457 |
351 |
$9K |
| 87210 |
|
1,837 |
1,401 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
54 |
52 |
$5K |
| 87220 |
|
1,767 |
1,347 |
$4K |
| 59430 |
|
40 |
27 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
166 |
$4K |
| 87075 |
|
823 |
654 |
$4K |
| 83986 |
|
1,764 |
1,341 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
26 |
$3K |
| 99000 |
|
804 |
613 |
$2K |
| 81025 |
|
268 |
169 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
13 |
$1K |