| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,782 |
4,792 |
$397K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,002 |
779 |
$81K |
| 76801 |
|
415 |
337 |
$35K |
| 59410 |
|
39 |
38 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
265 |
219 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
144 |
$23K |
| 76830 |
Ultrasound, transvaginal |
142 |
87 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
65 |
$11K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
423 |
327 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
63 |
25 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
63 |
56 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
132 |
68 |
$3K |
| 59025 |
Fetal non-stress test |
26 |
17 |
$1K |
| 99241 |
|
15 |
12 |
$525.00 |