| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,718 |
1,718 |
$271K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,445 |
1,434 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,506 |
2,477 |
$153K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,755 |
2,667 |
$84K |
| 86703 |
|
4,048 |
4,048 |
$73K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
2,646 |
2,607 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
412 |
411 |
$46K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
445 |
436 |
$40K |
| 81025 |
|
3,445 |
3,367 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
412 |
408 |
$17K |
| 76830 |
Ultrasound, transvaginal |
168 |
168 |
$13K |
| 81000 |
|
681 |
669 |
$12K |
| 99201 |
|
39 |
39 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$287.17 |
| 85018 |
|
70 |
70 |
$230.64 |
| 36416 |
|
115 |
115 |
$210.90 |
| 86901 |
|
28 |
28 |
$56.00 |