| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,036 |
915 |
$94K |
| 76830 |
Ultrasound, transvaginal |
605 |
553 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
394 |
373 |
$49K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
301 |
280 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
196 |
196 |
$20K |
| 93975 |
|
75 |
75 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$10K |
| 81025 |
|
1,686 |
1,501 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
70 |
$6K |
| 99385 |
|
50 |
50 |
$3K |
| 76377 |
|
116 |
115 |
$2K |
| 96127 |
|
97 |
94 |
$547.88 |
| 81000 |
|
42 |
41 |
$152.04 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
17 |
17 |
$43.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
43 |
$2.45 |