| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
652 |
632 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,373 |
2,572 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
214 |
$19K |
| 59426 |
|
12 |
12 |
$9K |
| 81025 |
|
642 |
612 |
$5K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
161 |
143 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
80 |
76 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 76801 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
168 |
164 |
$441.42 |
| 0502F |
|
559 |
294 |
$0.00 |