| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,843 |
1,756 |
$78K |
| 59426 |
|
93 |
92 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
843 |
$62K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
68 |
66 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
535 |
530 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,255 |
1,199 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
348 |
348 |
$28K |
| 76830 |
Ultrasound, transvaginal |
411 |
399 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
346 |
342 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
394 |
376 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
341 |
320 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
233 |
227 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
231 |
230 |
$13K |
| 59430 |
|
71 |
67 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
123 |
120 |
$11K |
| 76801 |
|
95 |
92 |
$7K |
| 81025 |
|
1,015 |
985 |
$6K |
| 59025 |
Fetal non-stress test |
208 |
98 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,025 |
1,886 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
403 |
344 |
$4K |
| 99215 |
Prolong outpt/office vis |
37 |
36 |
$4K |
| 54150 |
|
39 |
39 |
$2K |
| 99254 |
|
14 |
14 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
38 |
38 |
$829.33 |
| 90686 |
|
32 |
32 |
$664.29 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
32 |
32 |
$662.37 |
| 81002 |
|
325 |
317 |
$642.40 |
| 58300 |
|
15 |
15 |
$583.74 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$562.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$211.26 |
| 3078F |
|
76 |
74 |
$0.04 |
| 3008F |
|
3,355 |
3,080 |
$0.04 |
| 3074F |
|
75 |
74 |
$0.04 |
| 1160F |
|
77 |
76 |
$0.00 |
| 1000F |
|
286 |
254 |
$0.00 |
| 99000 |
|
52 |
51 |
$0.00 |