| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,969 |
4,620 |
$343K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,481 |
2,470 |
$234K |
| 76830 |
Ultrasound, transvaginal |
2,365 |
2,322 |
$203K |
| 99401 |
|
6,122 |
5,180 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,247 |
1,237 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,798 |
1,708 |
$163K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,580 |
1,575 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,774 |
1,742 |
$79K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
699 |
553 |
$55K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
3,856 |
2,964 |
$36K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
196 |
195 |
$31K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,277 |
1,264 |
$18K |
| 81002 |
|
8,963 |
8,175 |
$17K |
| 99385 |
|
128 |
127 |
$13K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
235 |
235 |
$8K |
| 99051 |
|
399 |
380 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
49 |
49 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,697 |
1,658 |
$2K |
| 81025 |
|
387 |
384 |
$2K |
| 99072 |
|
1,964 |
1,500 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
93 |
$1K |
| 99058 |
|
41 |
41 |
$730.30 |
| 99000 |
|
3,331 |
3,188 |
$549.21 |
| 99429 |
|
33 |
32 |
$493.75 |