| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,934 |
19,885 |
$1.71M |
| 76830 |
Ultrasound, transvaginal |
4,429 |
4,356 |
$459K |
| 58558 |
|
312 |
286 |
$327K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,116 |
1,922 |
$204K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,294 |
1,291 |
$174K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,649 |
1,620 |
$170K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,488 |
1,467 |
$143K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,281 |
1,271 |
$108K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,335 |
1,321 |
$102K |
| 99385 |
|
465 |
460 |
$46K |
| 99386 |
|
388 |
386 |
$45K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,337 |
1,336 |
$31K |
| 58100 |
|
372 |
366 |
$31K |
| 99401 |
|
822 |
804 |
$22K |
| 57454 |
|
115 |
114 |
$16K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,682 |
1,681 |
$16K |
| 76857 |
|
169 |
167 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
90 |
$1K |
| 81025 |
|
107 |
99 |
$665.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$414.11 |
| 99024 |
|
39 |
37 |
$270.00 |