| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
539 |
$37K |
| 76830 |
Ultrasound, transvaginal |
107 |
107 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
105 |
105 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
137 |
137 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
353 |
335 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
21 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
189 |
183 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
18 |
18 |
$645.81 |
| 81025 |
|
103 |
101 |
$581.42 |
| 3008F |
|
170 |
170 |
$210.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
566 |
515 |
$61.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
223 |
200 |
$45.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
151 |
147 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
47 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
42 |
41 |
$0.00 |
| 3725F |
|
134 |
130 |
$0.00 |
| 4551F |
|
69 |
69 |
$0.00 |