| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,741 |
5,952 |
$593K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,433 |
4,801 |
$571K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,445 |
2,444 |
$315K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,333 |
1,446 |
$288K |
| 76830 |
Ultrasound, transvaginal |
2,548 |
2,436 |
$257K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,917 |
3,916 |
$150K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,057 |
1,057 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
953 |
879 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
215 |
$25K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,200 |
1,199 |
$20K |
| 90715 |
|
94 |
94 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
196 |
$3K |
| 81025 |
|
185 |
184 |
$1K |
| 90686 |
|
42 |
42 |
$834.53 |