| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 57511 |
|
351 |
304 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
617 |
498 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
323 |
$19K |
| 76830 |
Ultrasound, transvaginal |
196 |
190 |
$17K |
| 51729 |
|
47 |
47 |
$12K |
| 93976 |
|
164 |
161 |
$8K |
| 51792 |
|
75 |
47 |
$6K |
| 51797 |
|
47 |
47 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
168 |
163 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
86 |
85 |
$1K |
| 51741 |
|
75 |
47 |
$363.07 |
| 51798 |
|
145 |
142 |
$181.84 |
| 51784 |
|
29 |
29 |
$0.00 |
| 51701 |
|
47 |
47 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
27 |
27 |
$0.00 |