| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,148 |
1,762 |
$131K |
| 76830 |
Ultrasound, transvaginal |
724 |
671 |
$85K |
| 76818 |
|
185 |
84 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
84 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
85 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
77 |
66 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
58 |
43 |
$5K |
| 99459 |
|
375 |
295 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
49 |
45 |
$4K |
| 84703 |
|
819 |
750 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
87 |
85 |
$769.86 |
| 81003 |
|
673 |
626 |
$768.59 |
| 0502F |
|
33 |
24 |
$0.00 |
| 99072 |
|
14 |
12 |
$0.00 |