| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,437 |
6,396 |
$317K |
| 76830 |
Ultrasound, transvaginal |
5,245 |
4,813 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,916 |
3,516 |
$150K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,719 |
4,467 |
$140K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
698 |
638 |
$59K |
| 99385 |
|
307 |
299 |
$31K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
853 |
832 |
$21K |
| 58340 |
|
206 |
181 |
$15K |
| 58100 |
|
230 |
202 |
$14K |
| 76831 |
|
216 |
192 |
$12K |
| 96127 |
|
748 |
651 |
$11K |
| 74740 |
|
217 |
191 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$4K |
| 99386 |
|
26 |
25 |
$3K |
| 58558 |
|
13 |
13 |
$2K |
| 81025 |
|
282 |
238 |
$2K |
| 57454 |
|
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$894.26 |
| 93975 |
|
13 |
13 |
$834.40 |
| 99442 |
|
15 |
14 |
$284.70 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
16 |
$58.31 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
280 |
275 |
$46.88 |
| 81002 |
|
12 |
12 |
$31.20 |
| 36415 |
Collection of venous blood by venipuncture |
480 |
376 |
$5.30 |
| 1040F |
|
326 |
319 |
$0.00 |
| 3725F |
|
326 |
318 |
$0.00 |
| 3511F |
|
13 |
13 |
$0.00 |
| 3353F |
|
326 |
319 |
$0.00 |
| 3354F |
|
325 |
318 |
$0.00 |
| 3352F |
|
326 |
319 |
$0.00 |
| 3319F |
|
1,001 |
657 |
$0.00 |
| 3014F |
|
910 |
615 |
$0.00 |
| 2060F |
|
326 |
319 |
$0.00 |
| 1220F |
|
326 |
319 |
$0.00 |