| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
4,212 |
4,196 |
$380K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,869 |
3,866 |
$307K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321 |
312 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
502 |
501 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
501 |
500 |
$13K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
343 |
343 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
105 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
116 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
244 |
244 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
145 |
145 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$462.54 |
| 87510 |
|
12 |
12 |
$162.45 |
| 87480 |
|
12 |
12 |
$162.45 |
| 87660 |
|
12 |
12 |
$162.45 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
89 |
$156.29 |
| 99072 |
|
194 |
178 |
$60.00 |