| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,453 |
7,870 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,190 |
4,000 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,320 |
1,317 |
$1K |
| 57454 |
|
125 |
125 |
$1K |
| 76830 |
Ultrasound, transvaginal |
832 |
832 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
721 |
720 |
$831.99 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
339 |
$300.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
179 |
179 |
$205.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
220 |
91 |
$20.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$19.50 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
59 |
59 |
$15.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
121 |
116 |
$14.63 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
118 |
105 |
$10.20 |
| 99233 |
Prolong inpt eval add15 m |
101 |
85 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
99 |
95 |
$0.00 |
| 99245 |
|
14 |
14 |
$0.00 |
| 99221 |
|
96 |
96 |
$0.00 |
| 58558 |
|
13 |
13 |
$0.00 |
| 88150 |
|
3,899 |
3,890 |
$0.00 |
| 88142 |
|
368 |
368 |
$0.00 |
| 99243 |
|
13 |
13 |
$0.00 |