| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,798 |
1,404 |
$109K |
| 76830 |
Ultrasound, transvaginal |
705 |
688 |
$67K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
481 |
476 |
$39K |
| 99401 |
|
1,314 |
1,085 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
225 |
225 |
$20K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
642 |
632 |
$19K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
477 |
471 |
$14K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
216 |
168 |
$2K |
| 99000 |
|
703 |
673 |
$2K |
| 93976 |
|
13 |
12 |
$2K |
| 88150 |
|
43 |
43 |
$615.30 |
| 76857 |
|
15 |
15 |
$558.97 |
| 81025 |
|
13 |
12 |
$92.82 |
| 81000 |
|
12 |
12 |
$44.00 |