| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,695 |
1,421 |
$186K |
| 99215 |
Prolong outpt/office vis |
950 |
838 |
$139K |
| 76830 |
Ultrasound, transvaginal |
701 |
659 |
$71K |
| 99442 |
|
1,083 |
971 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
706 |
639 |
$55K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
617 |
583 |
$54K |
| 99205 |
Prolong outpt/office vis |
232 |
231 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
242 |
241 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
132 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
243 |
219 |
$20K |
| 99402 |
|
994 |
910 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
187 |
158 |
$16K |
| 99401 |
|
630 |
588 |
$15K |
| 76820 |
|
404 |
318 |
$15K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
516 |
515 |
$14K |
| 93976 |
|
593 |
546 |
$13K |
| 99385 |
|
173 |
172 |
$12K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
664 |
655 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$4K |
| 99441 |
|
95 |
78 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
497 |
497 |
$4K |
| 76801 |
|
30 |
29 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$2K |
| 93000 |
|
174 |
173 |
$2K |
| 99403 |
|
89 |
81 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
15 |
$1K |
| 81025 |
|
257 |
248 |
$785.40 |
| 36415 |
Collection of venous blood by venipuncture |
1,189 |
1,123 |
$499.66 |
| 97802 |
|
227 |
219 |
$41.15 |
| 3074F |
|
49 |
49 |
$15.00 |
| 3078F |
|
34 |
34 |
$15.00 |
| 1036F |
|
74 |
74 |
$0.00 |
| 1126F |
|
26 |
26 |
$0.00 |
| 1220F |
|
49 |
49 |
$0.00 |
| 3008F |
|
63 |
63 |
$0.00 |
| 3016F |
|
60 |
60 |
$0.00 |
| 1159F |
|
61 |
61 |
$0.00 |