| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,221 |
24,672 |
$712K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,205 |
3,818 |
$69K |
| 59410 |
|
78 |
68 |
$66K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
709 |
645 |
$46K |
| 99221 |
|
697 |
534 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
344 |
329 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
464 |
365 |
$17K |
| 59515 |
|
56 |
28 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
5,751 |
5,195 |
$264.27 |
| 99205 |
Prolong outpt/office vis |
35 |
35 |
$0.00 |
| 3008F |
|
110 |
56 |
$0.00 |
| 0503F |
|
57 |
57 |
$0.00 |
| 59430 |
|
58 |
58 |
$0.00 |
| 1170F |
|
116 |
59 |
$0.00 |
| 3074F |
|
24 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
47 |
47 |
$0.00 |
| 1126F |
|
33 |
15 |
$0.00 |
| 1159F |
|
116 |
59 |
$0.00 |
| 1160F |
|
95 |
47 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
634 |
529 |
$0.00 |