| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,345 |
12,379 |
$119K |
| 76830 |
Ultrasound, transvaginal |
3,754 |
3,744 |
$106K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,005 |
3,991 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,375 |
3,357 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,034 |
3,857 |
$48K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,381 |
931 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,306 |
1,305 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
399 |
391 |
$24K |
| 88141 |
|
5,810 |
5,756 |
$11K |
| 59430 |
|
296 |
291 |
$10K |
| 59425 |
|
488 |
307 |
$10K |
| 99386 |
|
429 |
427 |
$9K |
| 57454 |
|
211 |
167 |
$9K |
| 58100 |
|
546 |
380 |
$7K |
| 99385 |
|
169 |
169 |
$4K |
| A4550 |
Surgical trays |
574 |
570 |
$4K |
| 59514 |
|
14 |
14 |
$2K |
| 81025 |
|
3,443 |
3,393 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
271 |
264 |
$2K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
16 |
16 |
$1K |
| 88150 |
|
1,862 |
1,852 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
183 |
130 |
$1K |
| 57455 |
|
41 |
30 |
$1K |
| 99000 |
|
2,478 |
2,456 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
82 |
$1K |
| 76801 |
|
57 |
56 |
$1K |
| 99243 |
|
50 |
50 |
$431.53 |
| 57410 |
|
110 |
110 |
$411.73 |
| 99459 |
|
122 |
122 |
$81.10 |
| 0503F |
|
209 |
207 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
13 |
13 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |