| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,007 |
3,007 |
$473K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,345 |
2,314 |
$360K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,658 |
3,623 |
$201K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,804 |
5,619 |
$174K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,439 |
1,419 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,222 |
1,218 |
$109K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,354 |
3,295 |
$72K |
| 81025 |
|
5,826 |
5,734 |
$64K |
| 86703 |
|
3,129 |
3,128 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,415 |
1,400 |
$49K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
82 |
82 |
$36K |
| 99201 |
|
225 |
225 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
280 |
280 |
$24K |
| 76830 |
Ultrasound, transvaginal |
296 |
293 |
$22K |
| 81000 |
|
769 |
757 |
$14K |
| 11981 |
|
55 |
55 |
$8K |
| 87806 |
|
115 |
115 |
$4K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
12 |
12 |
$3K |
| 58300 |
|
18 |
18 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
29 |
29 |
$1K |
| 85018 |
|
450 |
442 |
$900.96 |
| 86901 |
|
323 |
323 |
$646.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
56 |
$503.78 |
| 36416 |
|
61 |
61 |
$109.80 |