| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,073 |
4,887 |
$355K |
| 76830 |
Ultrasound, transvaginal |
787 |
745 |
$54K |
| 93976 |
|
551 |
509 |
$53K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,551 |
1,493 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
690 |
652 |
$40K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,210 |
1,159 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
716 |
545 |
$24K |
| 81025 |
|
2,177 |
1,982 |
$13K |
| 81002 |
|
2,716 |
2,506 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
61 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
76 |
$2K |