| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,739 |
3,105 |
$132K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,707 |
1,456 |
$68K |
| 76830 |
Ultrasound, transvaginal |
1,536 |
1,315 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
307 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
139 |
139 |
$13K |
| 58558 |
|
12 |
12 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
78 |
$6K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
131 |
131 |
$4K |
| 81003 |
|
1,225 |
1,097 |
$2K |
| 81025 |
|
130 |
127 |
$542.61 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
163 |
163 |
$324.40 |
| 99497 |
|
13 |
13 |
$267.25 |