| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,948 |
3,093 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
814 |
676 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
157 |
155 |
$10K |
| 81002 |
|
3,677 |
1,933 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
98 |
96 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
86 |
$3K |
| 81025 |
|
194 |
182 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$691.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
36 |
$520.79 |
| 90674 |
|
16 |
16 |
$472.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$279.64 |
| 64435 |
|
13 |
12 |
$113.55 |
| 99000 |
|
27 |
26 |
$0.00 |