| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
309 |
262 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
897 |
715 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
123 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
66 |
$3K |
| 81025 |
|
617 |
474 |
$2K |
| 0500F |
|
707 |
572 |
$2K |
| 81002 |
|
1,427 |
1,144 |
$2K |
| 80305 |
|
273 |
204 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
214 |
178 |
$919.67 |
| 0502F |
|
481 |
371 |
$662.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
14 |
$551.13 |
| 59430 |
|
17 |
13 |
$180.00 |
| 0503F |
|
44 |
40 |
$150.00 |
| 3294F |
|
284 |
209 |
$0.00 |
| 82950 |
|
284 |
209 |
$0.00 |
| 3292F |
|
284 |
209 |
$0.00 |
| 90715 |
|
200 |
152 |
$0.00 |