| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,427 |
3,092 |
$221K |
| 76830 |
Ultrasound, transvaginal |
2,324 |
2,219 |
$156K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
639 |
637 |
$41K |
| 53860 |
|
12 |
12 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
144 |
143 |
$14K |
| 99402 |
|
302 |
289 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 93976 |
|
14 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
175 |
173 |
$772.92 |
| 99072 |
|
186 |
168 |
$385.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
263 |
260 |
$117.04 |