| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,222 |
2,859 |
$327K |
| 76830 |
Ultrasound, transvaginal |
1,315 |
1,186 |
$181K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,347 |
1,216 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
613 |
$93K |
| 93975 |
|
377 |
345 |
$83K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
312 |
312 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
633 |
633 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
389 |
389 |
$49K |
| 81025 |
|
4,694 |
4,004 |
$39K |
| 99385 |
|
294 |
294 |
$27K |
| 96127 |
|
2,076 |
1,944 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
78 |
77 |
$7K |
| 76377 |
|
403 |
397 |
$4K |
| 99459 |
|
149 |
145 |
$4K |
| 81000 |
|
449 |
434 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$565.28 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$385.99 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$385.99 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$385.99 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$137.28 |