| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,277 |
4,782 |
$465K |
| 76830 |
Ultrasound, transvaginal |
3,234 |
3,032 |
$319K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,503 |
2,370 |
$202K |
| 93975 |
|
774 |
757 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
980 |
920 |
$129K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
948 |
948 |
$98K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
464 |
464 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
147 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
370 |
340 |
$26K |
| 76377 |
|
892 |
884 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
249 |
228 |
$18K |
| 99385 |
|
114 |
114 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
279 |
275 |
$14K |
| 88174 |
|
538 |
538 |
$13K |
| 88141 |
|
483 |
483 |
$11K |
| 81025 |
|
2,949 |
2,697 |
$10K |
| 76801 |
|
85 |
84 |
$10K |
| 76820 |
|
316 |
208 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
78 |
$8K |
| 99072 |
|
318 |
286 |
$7K |
| 76813 |
|
66 |
66 |
$7K |
| 99401 |
|
389 |
379 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
85 |
52 |
$7K |
| 96127 |
|
480 |
466 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
19 |
13 |
$2K |
| 96160 |
|
488 |
488 |
$2K |
| 81000 |
|
423 |
413 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
211 |
211 |
$685.37 |
| 99402 |
|
26 |
26 |
$680.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,485 |
1,397 |
$617.95 |
| 88150 |
|
26 |
26 |
$279.08 |
| 87210 |
|
22 |
22 |
$86.68 |