| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
3,701 |
3,698 |
$421K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,194 |
2,865 |
$284K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,136 |
1,392 |
$273K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,408 |
1,408 |
$177K |
| 99386 |
|
467 |
467 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
551 |
551 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
308 |
308 |
$56K |
| 99401 |
|
1,760 |
1,758 |
$53K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
727 |
727 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
155 |
$22K |
| 81002 |
|
5,599 |
4,116 |
$13K |
| 96160 |
|
3,473 |
3,472 |
$10K |
| 81025 |
|
1,205 |
1,181 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
628 |
628 |
$8K |
| 96127 |
|
931 |
919 |
$5K |
| 99385 |
|
37 |
37 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
29 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
28 |
$2K |
| 81000 |
|
450 |
378 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$807.29 |
| 36415 |
Collection of venous blood by venipuncture |
258 |
238 |
$518.55 |
| 88174 |
|
31 |
30 |
$119.24 |
| 3725F |
|
19 |
19 |
$0.00 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
39 |
24 |
$0.00 |