| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,170 |
876 |
$57K |
| 76830 |
Ultrasound, transvaginal |
114 |
106 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
117 |
109 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$882.78 |
| 81025 |
|
118 |
98 |
$744.84 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
33 |
31 |
$64.04 |
| 87210 |
|
13 |
13 |
$62.88 |
| 81002 |
|
26 |
26 |
$35.35 |
| 83986 |
|
13 |
13 |
$32.20 |