| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,714 |
10,432 |
$844K |
| 76830 |
Ultrasound, transvaginal |
6,009 |
5,981 |
$607K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,763 |
4,746 |
$433K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,791 |
3,771 |
$326K |
| 99386 |
|
2,715 |
2,712 |
$284K |
| 99401 |
|
13,216 |
11,413 |
$214K |
| 99385 |
|
1,751 |
1,749 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,948 |
1,844 |
$91K |
| 93975 |
|
360 |
356 |
$84K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
847 |
846 |
$80K |
| 81025 |
|
13,456 |
11,929 |
$70K |
| 58558 |
|
70 |
69 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
641 |
641 |
$58K |
| 96127 |
|
10,029 |
9,299 |
$44K |
| 93976 |
|
652 |
642 |
$28K |
| 81002 |
|
12,931 |
10,958 |
$26K |
| 88141 |
|
1,618 |
1,618 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
194 |
$20K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
4,691 |
4,672 |
$18K |
| 88142 |
|
1,006 |
1,006 |
$16K |
| 81000 |
|
4,909 |
3,983 |
$15K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
1,969 |
1,283 |
$14K |
| 76998 |
|
133 |
128 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
201 |
182 |
$13K |
| 96160 |
|
11,569 |
9,946 |
$12K |
| 57454 |
|
39 |
39 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
45 |
44 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,297 |
4,278 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,036 |
1,952 |
$1K |
| 76820 |
|
31 |
24 |
$1K |
| 99072 |
|
151 |
127 |
$1K |
| 99387 |
|
14 |
14 |
$788.22 |
| H0001 |
Alcohol and/or drug assessment |
64 |
64 |
$427.50 |
| 99459 |
|
22 |
22 |
$413.44 |
| 51784 |
|
14 |
12 |
$355.98 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
65 |
$333.20 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
53 |
53 |
$0.00 |
| 3078F |
|
33 |
31 |
$0.00 |
| 1160F |
|
73 |
58 |
$0.00 |
| 1159F |
|
61 |
50 |
$0.00 |
| 3725F |
|
30 |
30 |
$0.00 |
| 3016F |
|
30 |
30 |
$0.00 |
| 1036F |
|
27 |
27 |
$0.00 |
| 2000F |
|
29 |
29 |
$0.00 |
| 1000F |
|
30 |
30 |
$0.00 |
| 0501F |
|
36 |
24 |
$0.00 |
| 2001F |
|
58 |
48 |
$0.00 |
| 2010F |
|
58 |
48 |
$0.00 |
| 97802 |
|
49 |
48 |
$0.00 |
| 57421 |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |