| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,422 |
4,132 |
$298K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
944 |
759 |
$91K |
| 76830 |
Ultrasound, transvaginal |
656 |
651 |
$65K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
457 |
457 |
$44K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,729 |
1,728 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
457 |
453 |
$39K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,751 |
1,748 |
$35K |
| 81002 |
|
6,822 |
6,541 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
165 |
122 |
$11K |
| 99459 |
|
440 |
432 |
$6K |
| 81025 |
|
699 |
690 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
117 |
$1K |
| 87210 |
|
250 |
248 |
$1K |
| 76857 |
|
25 |
25 |
$901.59 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$794.67 |
| 82272 |
|
12 |
12 |
$46.29 |