| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,119 |
2,340 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
181 |
$19K |
| 76830 |
Ultrasound, transvaginal |
322 |
290 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
235 |
$10K |
| 81025 |
|
1,250 |
1,038 |
$5K |
| 81002 |
|
2,283 |
1,195 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
43 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
21 |
13 |
$910.15 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$305.52 |
| 3008F |
|
259 |
194 |
$76.30 |
| 1160F |
|
55 |
41 |
$73.50 |
| 0502F |
|
953 |
475 |
$0.40 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
641 |
498 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
79 |
60 |
$0.00 |
| 1036F |
|
160 |
121 |
$0.00 |
| 3074F |
|
154 |
117 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
877 |
673 |
$0.00 |
| 3078F |
|
119 |
89 |
$0.00 |
| 99072 |
|
46 |
42 |
$0.00 |