| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,338 |
1,888 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
772 |
682 |
$39K |
| 76830 |
Ultrasound, transvaginal |
89 |
86 |
$8K |
| 99442 |
|
153 |
141 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$7K |
| 99441 |
|
183 |
168 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
44 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
48 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$911.64 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
144 |
142 |
$883.83 |
| 57500 |
|
20 |
18 |
$114.49 |
| 83986 |
|
99 |
98 |
$60.97 |
| A4402 |
Lubricant, per ounce |
416 |
375 |
$18.65 |
| 99072 |
|
136 |
132 |
$0.00 |