| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
236 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99 |
97 |
$5K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
146 |
139 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
99 |
96 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$899.91 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$891.19 |
| 96127 |
|
109 |
103 |
$291.41 |
| 81002 |
|
57 |
52 |
$136.10 |