| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,320 |
27,734 |
$2.37M |
| 76830 |
Ultrasound, transvaginal |
12,869 |
12,795 |
$1.17M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13,706 |
13,619 |
$1.12M |
| 58558 |
|
603 |
602 |
$718K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,104 |
5,096 |
$510K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,790 |
4,788 |
$460K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,142 |
4,140 |
$375K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
10,400 |
10,384 |
$340K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
9,906 |
9,885 |
$167K |
| 76818 |
|
973 |
691 |
$102K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,089 |
1,006 |
$91K |
| 51729 |
|
264 |
262 |
$90K |
| 59025 |
Fetal non-stress test |
1,899 |
1,125 |
$78K |
| 99385 |
|
720 |
719 |
$74K |
| 57454 |
|
427 |
425 |
$63K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
968 |
914 |
$61K |
| 76820 |
|
1,409 |
1,095 |
$46K |
| 99386 |
|
317 |
317 |
$37K |
| 99401 |
|
1,291 |
1,256 |
$36K |
| 51797 |
|
263 |
261 |
$33K |
| 81003 |
|
16,975 |
15,373 |
$28K |
| 81025 |
|
5,217 |
4,968 |
$24K |
| 76801 |
|
239 |
232 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
133 |
133 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
229 |
204 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
108 |
$10K |
| 81007 |
|
1,199 |
886 |
$9K |
| 76813 |
|
64 |
64 |
$6K |
| 51784 |
|
126 |
124 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
86 |
$4K |
| 51741 |
|
264 |
261 |
$2K |
| 99000 |
|
419 |
386 |
$2K |
| 93976 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
659 |
655 |
$502.32 |
| A4550 |
Surgical trays |
88 |
87 |
$0.00 |