| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,945 |
2,536 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,234 |
1,143 |
$96K |
| 76830 |
Ultrasound, transvaginal |
709 |
673 |
$58K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
571 |
534 |
$31K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,332 |
1,321 |
$25K |
| 81025 |
|
3,953 |
3,246 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
191 |
187 |
$15K |
| 99385 |
|
119 |
119 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
114 |
114 |
$9K |
| 58558 |
|
13 |
13 |
$9K |
| 99442 |
|
125 |
116 |
$7K |
| 99441 |
|
180 |
172 |
$6K |
| 99386 |
|
41 |
41 |
$4K |
| 93975 |
|
25 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
86 |
$3K |
| 99422 |
|
92 |
91 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 76377 |
|
159 |
156 |
$1K |
| 57454 |
|
13 |
13 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,331 |
1,318 |
$679.92 |
| 99421 |
|
65 |
64 |
$624.90 |
| 99459 |
|
50 |
49 |
$420.95 |
| 99072 |
|
39 |
31 |
$267.92 |
| 96127 |
|
37 |
36 |
$139.74 |
| 36415 |
Collection of venous blood by venipuncture |
1,364 |
1,286 |
$40.71 |
| 36410 |
|
156 |
144 |
$3.54 |
| 98960 |
|
65 |
65 |
$0.00 |
| 1003F |
|
32 |
31 |
$0.00 |