| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
719 |
674 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
998 |
931 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
92 |
$13K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
138 |
136 |
$10K |
| 99215 |
Prolong outpt/office vis |
64 |
62 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
67 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
44 |
43 |
$5K |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
13 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
57 |
57 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
17 |
15 |
$2K |
| 99385 |
|
14 |
13 |
$2K |
| 93000 |
|
89 |
83 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
41 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
44 |
$1K |
| 81003 |
|
40 |
37 |
$67.97 |