| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,627 |
6,828 |
$605K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,141 |
2,040 |
$204K |
| 76830 |
Ultrasound, transvaginal |
2,486 |
2,444 |
$194K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
646 |
644 |
$51K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
326 |
326 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
263 |
263 |
$25K |
| 57150 |
|
379 |
350 |
$17K |
| 81025 |
|
3,754 |
3,179 |
$11K |
| 99441 |
|
183 |
172 |
$6K |
| 81002 |
|
3,794 |
3,167 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
118 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$3K |
| 93976 |
|
13 |
13 |
$2K |
| 76770 |
|
12 |
12 |
$1K |
| 93000 |
|
29 |
28 |
$424.10 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$415.22 |