| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,408 |
2,922 |
$168K |
| 59425 |
|
33 |
30 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
198 |
198 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
110 |
106 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
73 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
76 |
76 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
65 |
$6K |
| 81025 |
|
615 |
564 |
$4K |
| 76801 |
|
25 |
25 |
$2K |
| 59025 |
Fetal non-stress test |
28 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
15 |
14 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,726 |
2,533 |
$399.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$287.84 |