| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,171 |
1,041 |
$96K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
230 |
229 |
$28K |
| 76830 |
Ultrasound, transvaginal |
213 |
210 |
$16K |
| 99385 |
|
126 |
124 |
$10K |
| 93975 |
|
95 |
95 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
93 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
87 |
85 |
$5K |
| 57410 |
|
44 |
44 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
192 |
191 |
$1K |
| 81025 |
|
119 |
119 |
$391.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$376.19 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
208 |
$147.35 |
| 87081 |
|
54 |
54 |
$145.69 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
12 |
$104.85 |
| 99401 |
|
46 |
46 |
$102.26 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
123 |
123 |
$26.03 |