| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,307 |
1,969 |
$119K |
| 76830 |
Ultrasound, transvaginal |
118 |
86 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
49 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
42 |
$4K |
| 81025 |
|
897 |
772 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
202 |
176 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
12 |
$1K |
| 81002 |
|
29 |
24 |
$32.26 |
| 99000 |
|
634 |
539 |
$0.00 |