| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,926 |
3,791 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
849 |
805 |
$86K |
| 76830 |
Ultrasound, transvaginal |
466 |
433 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
704 |
659 |
$31K |
| 99442 |
|
262 |
254 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
131 |
130 |
$12K |
| 87077 |
|
1,023 |
1,002 |
$7K |
| 99441 |
|
123 |
118 |
$6K |
| 81000 |
|
1,786 |
1,364 |
$6K |
| 81002 |
|
1,955 |
1,610 |
$4K |
| 88150 |
|
236 |
235 |
$3K |
| 81025 |
|
1,040 |
1,005 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
44 |
43 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
277 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
386 |
385 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$984.63 |
| 90686 |
|
59 |
59 |
$604.31 |
| 36415 |
Collection of venous blood by venipuncture |
800 |
755 |
$271.91 |
| 99051 |
|
30 |
29 |
$136.50 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
30 |
30 |
$123.70 |
| 90649 |
|
13 |
13 |
$0.00 |
| 99000 |
|
15 |
15 |
$0.00 |