| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,426 |
2,068 |
$104K |
| 59426 |
|
115 |
115 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,437 |
1,356 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
886 |
884 |
$78K |
| 59025 |
Fetal non-stress test |
2,522 |
942 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
689 |
678 |
$55K |
| 99385 |
|
374 |
374 |
$37K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,242 |
1,224 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
29 |
29 |
$22K |
| 99386 |
|
186 |
185 |
$22K |
| 76801 |
|
268 |
261 |
$18K |
| 59430 |
|
75 |
74 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
255 |
246 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
273 |
265 |
$15K |
| 76830 |
Ultrasound, transvaginal |
203 |
197 |
$13K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
923 |
906 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
117 |
107 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
319 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
79 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,292 |
2,077 |
$6K |
| 81025 |
|
725 |
703 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$5K |
| 81002 |
|
1,057 |
932 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
40 |
$364.32 |
| 0500F |
|
453 |
442 |
$0.00 |
| 99000 |
|
493 |
479 |
$0.00 |
| 36410 |
|
13 |
12 |
$0.00 |
| 0502F |
|
438 |
298 |
$0.00 |