| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,247 |
3,956 |
$264K |
| 76830 |
Ultrasound, transvaginal |
1,846 |
1,841 |
$176K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,510 |
1,508 |
$144K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,059 |
3,057 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
794 |
794 |
$70K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
707 |
705 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
694 |
692 |
$63K |
| 88142 |
|
2,862 |
2,860 |
$36K |
| 87110 |
|
2,697 |
2,694 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,455 |
2,452 |
$15K |
| 81025 |
|
2,283 |
2,240 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$812.22 |