| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,544 |
5,024 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
412 |
404 |
$14K |
| 59515 |
|
16 |
13 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
204 |
184 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
82 |
74 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
49 |
48 |
$920.46 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
216 |
210 |
$407.09 |
| 0503F |
|
13 |
12 |
$0.00 |