| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,693 |
1,574 |
$145K |
| 76830 |
Ultrasound, transvaginal |
828 |
805 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
452 |
$57K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
377 |
367 |
$31K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
710 |
709 |
$29K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
797 |
797 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
195 |
$21K |
| 87490 |
|
791 |
788 |
$12K |
| 81025 |
|
1,814 |
1,654 |
$11K |
| 99401 |
|
475 |
446 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 99385 |
|
15 |
15 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| 81002 |
|
276 |
262 |
$651.83 |
| 99459 |
|
15 |
15 |
$362.10 |