| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,468 |
3,822 |
$326K |
| 76830 |
Ultrasound, transvaginal |
1,449 |
1,434 |
$156K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
986 |
983 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
246 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
369 |
369 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
299 |
298 |
$32K |
| 99386 |
|
111 |
111 |
$16K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
623 |
622 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
89 |
$6K |
| 81025 |
|
777 |
742 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
25 |
$4K |
| 99442 |
|
28 |
26 |
$2K |
| 83986 |
|
637 |
615 |
$909.84 |
| 81002 |
|
220 |
217 |
$500.08 |
| 99397 |
|
54 |
54 |
$481.86 |
| 81000 |
|
295 |
290 |
$317.65 |
| 3008F |
|
39 |
39 |
$0.00 |