| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,953 |
2,952 |
$460K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,909 |
1,907 |
$285K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,539 |
3,513 |
$230K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,769 |
2,749 |
$200K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,339 |
5,167 |
$159K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,289 |
1,280 |
$109K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
4,555 |
4,508 |
$100K |
| 86703 |
|
4,710 |
4,710 |
$85K |
| 81025 |
|
4,584 |
4,519 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,022 |
1,015 |
$41K |
| 76830 |
Ultrasound, transvaginal |
256 |
252 |
$21K |
| 81000 |
|
1,030 |
1,024 |
$19K |
| 58300 |
|
54 |
54 |
$12K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$6K |
| 99201 |
|
37 |
37 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
225 |
225 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
21 |
21 |
$808.71 |
| J3490 |
Unclassified drugs |
48 |
46 |
$799.76 |
| 57454 |
|
12 |
12 |
$775.20 |
| 86901 |
|
313 |
312 |
$622.00 |
| 85018 |
|
367 |
365 |
$516.96 |