| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,522 |
2,098 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
753 |
611 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
519 |
463 |
$45K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,841 |
1,533 |
$36K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,894 |
1,577 |
$22K |
| 76830 |
Ultrasound, transvaginal |
154 |
143 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
164 |
155 |
$16K |
| 81025 |
|
2,330 |
1,857 |
$8K |
| 81003 |
|
5,178 |
3,187 |
$6K |
| 76801 |
|
58 |
41 |
$5K |
| 99459 |
|
165 |
149 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
14 |
$2K |
| 99385 |
|
14 |
13 |
$2K |
| 96160 |
|
167 |
140 |
$506.77 |
| H0049 |
Alcohol and/or drug screening |
31 |
28 |
$122.08 |
| 0503F |
|
29 |
26 |
$70.00 |