| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,732 |
24,013 |
$2.12M |
| 76830 |
Ultrasound, transvaginal |
12,741 |
11,534 |
$1.46M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
11,094 |
10,170 |
$1.08M |
| 93975 |
|
3,240 |
3,185 |
$853K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,553 |
5,200 |
$616K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,151 |
4,143 |
$412K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,372 |
4,369 |
$367K |
| 99385 |
|
3,208 |
3,204 |
$267K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,573 |
1,571 |
$234K |
| 81025 |
|
31,697 |
27,993 |
$199K |
| 99401 |
|
4,656 |
4,356 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,261 |
2,197 |
$94K |
| 88141 |
|
3,353 |
3,351 |
$86K |
| 76377 |
|
3,020 |
2,969 |
$75K |
| 99072 |
|
1,458 |
1,238 |
$46K |
| 81000 |
|
8,777 |
8,073 |
$30K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
840 |
840 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
246 |
246 |
$21K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,498 |
1,496 |
$20K |
| 99386 |
|
239 |
239 |
$19K |
| 99402 |
|
401 |
390 |
$16K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
804 |
802 |
$14K |
| 96127 |
|
2,350 |
2,280 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
12,659 |
11,699 |
$11K |
| 57454 |
|
55 |
55 |
$10K |
| 88150 |
|
674 |
673 |
$7K |
| 96160 |
|
1,427 |
1,419 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
38 |
$2K |
| 58301 |
|
14 |
14 |
$2K |
| 99459 |
|
52 |
52 |
$1K |
| 88174 |
|
55 |
55 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
72 |
$999.61 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$294.72 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$294.72 |
| 87210 |
|
42 |
42 |
$196.72 |
| A4550 |
Surgical trays |
106 |
104 |
$0.00 |