| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
2,565 |
2,131 |
$400K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,369 |
3,344 |
$351K |
| 76830 |
Ultrasound, transvaginal |
3,130 |
2,534 |
$332K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,385 |
1,927 |
$180K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
745 |
743 |
$70K |
| 58558 |
|
54 |
54 |
$65K |
| 99401 |
|
3,173 |
2,603 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
393 |
$53K |
| 99385 |
|
400 |
399 |
$39K |
| 99402 |
|
2,746 |
2,331 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
168 |
$28K |
| 81025 |
|
5,534 |
4,349 |
$26K |
| 99386 |
|
207 |
207 |
$24K |
| 96160 |
|
6,324 |
4,821 |
$17K |
| 76377 |
|
519 |
496 |
$15K |
| 58340 |
|
28 |
28 |
$7K |
| 81002 |
|
3,433 |
3,105 |
$7K |
| 99403 |
|
317 |
306 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
127 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
50 |
28 |
$4K |
| 76857 |
|
79 |
72 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$3K |
| 76831 |
|
26 |
26 |
$3K |
| 76801 |
|
41 |
24 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,171 |
1,168 |
$823.37 |
| 76998 |
|
30 |
30 |
$747.63 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,140 |
1,136 |
$111.54 |
| 36415 |
Collection of venous blood by venipuncture |
3,043 |
2,228 |
$65.42 |
| 99000 |
|
62 |
62 |
$0.00 |
| 57800 |
|
41 |
40 |
$0.00 |