| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
12,525 |
11,029 |
$1.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,135 |
8,043 |
$833K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,509 |
3,507 |
$446K |
| 90651 |
|
625 |
625 |
$167K |
| 58558 |
|
78 |
78 |
$121K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
582 |
580 |
$105K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
687 |
687 |
$82K |
| 81025 |
|
10,840 |
8,868 |
$74K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,532 |
4,520 |
$68K |
| 99386 |
|
216 |
216 |
$34K |
| 81002 |
|
11,635 |
10,200 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
272 |
$16K |
| 57452 |
|
104 |
104 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
641 |
641 |
$11K |
| 82270 |
|
2,553 |
2,551 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
59 |
59 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
927 |
845 |
$1K |
| 99441 |
|
15 |
15 |
$42.99 |
| 87210 |
|
14 |
14 |
$37.83 |
| A4550 |
Surgical trays |
186 |
185 |
$0.00 |