| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,317 |
3,647 |
$247K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
962 |
868 |
$69K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
457 |
376 |
$46K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,531 |
1,393 |
$40K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,153 |
1,038 |
$33K |
| 99070 |
|
885 |
778 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
48 |
33 |
$3K |
| 76801 |
|
33 |
25 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
13 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
148 |
130 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$2K |
| 99385 |
|
80 |
78 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
60 |
55 |
$1K |
| 99442 |
|
26 |
26 |
$1K |
| 99242 |
|
23 |
17 |
$834.78 |
| 99386 |
|
13 |
13 |
$128.00 |