| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,012 |
6,282 |
$471K |
| 76830 |
Ultrasound, transvaginal |
879 |
833 |
$91K |
| 99441 |
|
2,073 |
1,744 |
$86K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
585 |
585 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
366 |
365 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
349 |
342 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
437 |
426 |
$33K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,613 |
2,546 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
420 |
399 |
$18K |
| 99442 |
|
213 |
201 |
$16K |
| 58558 |
|
12 |
12 |
$9K |
| 57500 |
|
181 |
177 |
$7K |
| 76818 |
|
48 |
24 |
$5K |
| 99385 |
|
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$1K |
| 83986 |
|
1,046 |
981 |
$892.65 |
| 76857 |
|
17 |
16 |
$590.21 |
| 99072 |
|
1,119 |
1,032 |
$345.00 |
| A4402 |
Lubricant, per ounce |
2,166 |
1,909 |
$177.50 |
| 99000 |
|
1,489 |
1,485 |
$13.10 |
| 3008F |
|
2,116 |
1,536 |
$1.00 |
| 3014F |
|
336 |
317 |
$0.00 |
| 1123F |
|
703 |
614 |
$0.00 |
| 1000F |
|
1,482 |
1,137 |
$0.00 |
| 0502F |
|
620 |
335 |
$0.00 |