| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,797 |
1,604 |
$152K |
| 76830 |
Ultrasound, transvaginal |
1,607 |
1,550 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
834 |
784 |
$49K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,094 |
1,093 |
$24K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
182 |
181 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
291 |
285 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
124 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
956 |
949 |
$6K |
| 99385 |
|
25 |
25 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
17 |
17 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,541 |
1,416 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 57150 |
|
12 |
12 |
$579.54 |