| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,721 |
3,265 |
$275K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,365 |
4,599 |
$159K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,660 |
1,572 |
$126K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
954 |
929 |
$84K |
| 76830 |
Ultrasound, transvaginal |
700 |
679 |
$64K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
40 |
39 |
$60K |
| 93976 |
|
216 |
214 |
$29K |
| 99215 |
Prolong outpt/office vis |
199 |
182 |
$20K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
187 |
178 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
149 |
141 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
119 |
$13K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
12 |
12 |
$11K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
298 |
282 |
$8K |
| 81025 |
|
940 |
870 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
253 |
$4K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
30 |
$2K |
| 58300 |
|
25 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
84 |
77 |
$752.86 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
217 |
$658.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$601.02 |
| 99072 |
|
63 |
60 |
$0.00 |