| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,268 |
1,093 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,240 |
984 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
126 |
$6K |
| 81003 |
|
2,070 |
1,419 |
$4K |
| 81025 |
|
608 |
511 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
27 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
978 |
815 |
$2K |
| 76857 |
|
56 |
51 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
29 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
91 |
$1K |
| 99000 |
|
623 |
531 |
$775.18 |
| 90715 |
|
15 |
12 |
$438.45 |
| 90686 |
|
27 |
24 |
$376.80 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
98 |
83 |
$374.28 |
| 87210 |
|
87 |
76 |
$339.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
38 |
$300.35 |
| G0008 |
Administration of influenza virus vaccine |
27 |
24 |
$157.40 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
58 |
52 |
$117.20 |