| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,035 |
12,434 |
$1.28M |
| 76830 |
Ultrasound, transvaginal |
4,377 |
4,320 |
$438K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,519 |
3,496 |
$306K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,784 |
2,767 |
$286K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,568 |
1,425 |
$174K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,631 |
1,627 |
$146K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,490 |
1,373 |
$142K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,806 |
1,748 |
$77K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
246 |
221 |
$22K |
| 76801 |
|
148 |
139 |
$14K |
| 99459 |
|
566 |
564 |
$13K |
| 81002 |
|
6,525 |
4,714 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
826 |
819 |
$11K |
| 99386 |
|
85 |
85 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
71 |
$9K |
| 81025 |
|
1,291 |
1,264 |
$7K |
| 99385 |
|
63 |
63 |
$6K |
| 99051 |
|
1,520 |
1,362 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
5,625 |
4,863 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$5K |
| 59430 |
|
12 |
12 |
$4K |
| 76813 |
|
25 |
25 |
$3K |
| 76820 |
|
44 |
40 |
$2K |
| 96127 |
|
265 |
265 |
$1K |
| 99441 |
|
26 |
26 |
$861.12 |
| 99000 |
|
1,438 |
1,372 |
$131.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
251 |
251 |
$6.23 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.02 |
| 3725F |
|
118 |
118 |
$0.00 |