| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,752 |
9,333 |
$786K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,445 |
4,073 |
$181K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,200 |
2,144 |
$136K |
| 76830 |
Ultrasound, transvaginal |
1,208 |
1,145 |
$75K |
| H1000 |
Prenatal care, at-risk assessment |
2,258 |
2,099 |
$71K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
370 |
348 |
$57K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,381 |
1,278 |
$26K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,283 |
1,184 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
270 |
264 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
854 |
779 |
$13K |
| 99215 |
Prolong outpt/office vis |
118 |
106 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
83 |
80 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
339 |
327 |
$5K |
| 59430 |
|
52 |
51 |
$4K |
| 76801 |
|
39 |
39 |
$3K |
| 59025 |
Fetal non-stress test |
90 |
52 |
$3K |
| 54150 |
|
40 |
40 |
$2K |
| 57454 |
|
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
16 |
$1K |
| 81025 |
|
132 |
126 |
$825.52 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
308 |
298 |
$0.12 |
| 0502F |
|
717 |
474 |
$0.00 |