| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
4,340 |
2,739 |
$864K |
| 76830 |
Ultrasound, transvaginal |
5,996 |
3,649 |
$606K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,078 |
3,966 |
$490K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,082 |
3,014 |
$342K |
| 99401 |
|
8,414 |
5,224 |
$190K |
| 58558 |
|
154 |
150 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,361 |
1,353 |
$130K |
| 99386 |
|
603 |
602 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
428 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,324 |
986 |
$66K |
| 58340 |
|
234 |
234 |
$50K |
| 99385 |
|
398 |
398 |
$48K |
| 99402 |
|
1,209 |
942 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
287 |
$41K |
| 81025 |
|
8,880 |
5,404 |
$40K |
| 96160 |
|
9,138 |
5,566 |
$24K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,420 |
1,411 |
$21K |
| 76857 |
|
446 |
312 |
$20K |
| 76831 |
|
209 |
196 |
$17K |
| 76377 |
|
209 |
175 |
$12K |
| 81002 |
|
6,127 |
4,238 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
5,984 |
3,052 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
382 |
378 |
$7K |
| 76998 |
|
70 |
69 |
$1K |
| 99442 |
|
12 |
12 |
$1K |
| 99072 |
|
22 |
16 |
$712.50 |
| 81000 |
|
256 |
151 |
$705.68 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,047 |
1,038 |
$612.03 |
| 57800 |
|
78 |
76 |
$155.01 |
| 76942 |
|
14 |
14 |
$126.68 |
| 99000 |
|
1,160 |
819 |
$17.55 |