| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,109 |
7,194 |
$704K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,672 |
1,992 |
$109K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
674 |
624 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
568 |
520 |
$41K |
| 76830 |
Ultrasound, transvaginal |
618 |
591 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
660 |
627 |
$37K |
| S0612 |
Annual gynecological examination, established patient |
287 |
260 |
$26K |
| 99385 |
|
237 |
224 |
$16K |
| 99496 |
|
99 |
87 |
$8K |
| 76376 |
|
550 |
526 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
100 |
80 |
$4K |
| 81025 |
|
1,878 |
1,637 |
$3K |
| 87210 |
|
2,744 |
2,175 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
17 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,062 |
823 |
$704.13 |
| 76801 |
|
27 |
25 |
$379.11 |
| 3078F |
|
95 |
80 |
$0.00 |
| 3074F |
|
116 |
99 |
$0.00 |