| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
3,230 |
3,073 |
$538K |
| 76830 |
Ultrasound, transvaginal |
3,212 |
3,091 |
$270K |
| 57150 |
|
3,493 |
3,320 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
807 |
787 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,068 |
989 |
$89K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,404 |
1,400 |
$73K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
254 |
254 |
$33K |
| 57510 |
|
261 |
260 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
118 |
118 |
$14K |
| 57454 |
|
39 |
39 |
$6K |
| 57180 |
|
30 |
30 |
$6K |
| 99459 |
|
182 |
170 |
$4K |
| 81025 |
|
1,711 |
1,637 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
23 |
22 |
$2K |
| 56820 |
|
13 |
13 |
$947.18 |
| 46600 |
|
13 |
13 |
$913.51 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
43 |
43 |
$95.46 |
| 99000 |
|
1,662 |
1,607 |
$5.09 |
| 99072 |
|
16 |
15 |
$0.00 |