| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,690 |
4,143 |
$323K |
| 76830 |
Ultrasound, transvaginal |
1,517 |
1,493 |
$172K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,749 |
1,697 |
$143K |
| 93975 |
|
469 |
463 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
965 |
938 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
343 |
341 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
358 |
352 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
299 |
299 |
$32K |
| 99385 |
|
113 |
113 |
$12K |
| 81000 |
|
4,962 |
3,445 |
$11K |
| 99386 |
|
57 |
57 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
69 |
59 |
$7K |
| 88150 |
|
607 |
604 |
$6K |
| 99401 |
|
334 |
331 |
$6K |
| 76801 |
|
43 |
38 |
$4K |
| 96160 |
|
1,255 |
1,247 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
40 |
$4K |
| 88174 |
|
353 |
351 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
33 |
28 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 81025 |
|
220 |
220 |
$1K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
40 |
40 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
56 |
56 |
$206.79 |
| 96127 |
|
14 |
12 |
$65.42 |
| 87210 |
|
15 |
15 |
$39.48 |
| 99000 |
|
46 |
28 |
$6.55 |
| 0503F |
|
17 |
15 |
$0.00 |
| 0502F |
|
3,164 |
1,897 |
$0.00 |
| 99072 |
|
54 |
53 |
$0.00 |