| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,590 |
3,555 |
$168K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,239 |
3,534 |
$156K |
| 76830 |
Ultrasound, transvaginal |
2,030 |
1,982 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,815 |
1,733 |
$105K |
| 99205 |
Prolong outpt/office vis |
772 |
767 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
856 |
806 |
$49K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
479 |
479 |
$37K |
| 99402 |
|
352 |
317 |
$12K |
| 58100 |
|
238 |
230 |
$9K |
| 88150 |
|
1,495 |
1,488 |
$8K |
| 87110 |
|
659 |
657 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
527 |
500 |
$6K |
| 77080 |
|
188 |
174 |
$4K |
| 99215 |
Prolong outpt/office vis |
86 |
74 |
$4K |
| 87075 |
|
653 |
651 |
$4K |
| 81000 |
|
1,666 |
1,658 |
$2K |
| 57454 |
|
31 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
65 |
41 |
$929.57 |
| 84703 |
|
166 |
160 |
$621.67 |
| 57452 |
|
13 |
13 |
$613.45 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$546.29 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
138 |
109 |
$490.94 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
51 |
$94.15 |
| 0502F |
|
23 |
12 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
17 |
$0.00 |