| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 58558 |
|
801 |
797 |
$953K |
| 46924 |
|
1,070 |
903 |
$461K |
| 93975 |
|
1,486 |
1,459 |
$395K |
| 76830 |
Ultrasound, transvaginal |
2,743 |
2,722 |
$274K |
| 51729 |
|
575 |
572 |
$206K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,834 |
2,813 |
$185K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,294 |
1,291 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,381 |
1,309 |
$92K |
| 51797 |
|
575 |
572 |
$76K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
831 |
829 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
586 |
559 |
$58K |
| 56515 |
|
318 |
264 |
$42K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,536 |
2,528 |
$27K |
| 51784 |
|
715 |
594 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
417 |
410 |
$18K |
| 99385 |
|
95 |
95 |
$8K |
| 99386 |
|
79 |
78 |
$8K |
| 57065 |
|
15 |
14 |
$2K |
| 99000 |
|
3,135 |
3,122 |
$0.00 |