| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,947 |
1,722 |
$118K |
| 99205 |
Prolong outpt/office vis |
224 |
223 |
$33K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,285 |
1,281 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
214 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
69 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$7K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$3K |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$943.44 |