| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,615 |
7,128 |
$336K |
| 76830 |
Ultrasound, transvaginal |
1,562 |
1,371 |
$120K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,433 |
1,299 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,248 |
1,227 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
798 |
779 |
$51K |
| 99385 |
|
673 |
661 |
$47K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,665 |
2,622 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
309 |
306 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
368 |
363 |
$24K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,271 |
3,212 |
$19K |
| 59025 |
Fetal non-stress test |
580 |
252 |
$17K |
| 99386 |
|
205 |
203 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
91 |
$7K |
| 81025 |
|
1,873 |
1,729 |
$5K |
| 81002 |
|
8,169 |
6,321 |
$2K |
| 86631 |
|
350 |
335 |
$645.30 |
| 99000 |
|
1,997 |
1,972 |
$12.10 |