| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
855 |
821 |
$53K |
| 76830 |
Ultrasound, transvaginal |
550 |
525 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
506 |
495 |
$38K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
302 |
301 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
165 |
165 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,536 |
1,531 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
31 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
24 |
13 |
$2K |
| 81000 |
|
44 |
38 |
$176.00 |
| 81002 |
|
55 |
37 |
$96.12 |