| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,329 |
2,967 |
$240K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
726 |
677 |
$71K |
| 93975 |
|
86 |
86 |
$22K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
591 |
591 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
195 |
192 |
$17K |
| 76830 |
Ultrasound, transvaginal |
119 |
118 |
$13K |
| 99072 |
|
1,976 |
1,644 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
79 |
$7K |
| 99401 |
|
282 |
250 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
44 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$2K |
| 93976 |
|
12 |
12 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
52 |
52 |
$546.86 |
| 99441 |
|
18 |
18 |
$318.04 |
| 36415 |
Collection of venous blood by venipuncture |
317 |
312 |
$278.47 |
| 81025 |
|
12 |
12 |
$82.86 |