| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,602 |
12,164 |
$1.21M |
| 76830 |
Ultrasound, transvaginal |
6,949 |
6,830 |
$751K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,248 |
4,245 |
$555K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,294 |
2,294 |
$262K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,077 |
2,077 |
$253K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,739 |
1,068 |
$226K |
| 99386 |
|
869 |
869 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
761 |
718 |
$101K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
7,790 |
7,777 |
$74K |
| 57454 |
|
213 |
213 |
$39K |
| 81025 |
|
2,000 |
1,916 |
$13K |
| 99385 |
|
94 |
94 |
$13K |
| 87210 |
|
762 |
751 |
$3K |
| 87220 |
|
932 |
918 |
$3K |
| 83986 |
|
780 |
769 |
$2K |
| 76801 |
|
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$310.64 |
| 36415 |
Collection of venous blood by venipuncture |
426 |
398 |
$269.56 |
| 81002 |
|
51 |
51 |
$126.33 |
| 86580 |
|
12 |
12 |
$115.04 |
| A4550 |
Surgical trays |
1,344 |
1,334 |
$0.02 |
| 99000 |
|
755 |
754 |
$0.00 |