| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,442 |
12,460 |
$1.41M |
| 76830 |
Ultrasound, transvaginal |
6,520 |
6,480 |
$744K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,425 |
4,425 |
$556K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,544 |
1,649 |
$284K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,801 |
1,801 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,493 |
1,493 |
$183K |
| 57454 |
|
651 |
650 |
$121K |
| 99386 |
|
771 |
771 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
428 |
$66K |
| 58100 |
|
389 |
388 |
$42K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,467 |
4,467 |
$42K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
367 |
285 |
$36K |
| 81025 |
|
4,106 |
3,890 |
$29K |
| 99385 |
|
168 |
168 |
$22K |
| 99401 |
|
523 |
519 |
$11K |
| 83986 |
|
3,015 |
2,888 |
$8K |
| 59430 |
|
32 |
32 |
$7K |
| 81002 |
|
2,183 |
2,135 |
$6K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
36 |
36 |
$3K |
| 58301 |
|
25 |
25 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12 |
12 |
$983.37 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$970.14 |