| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,495 |
1,351 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
250 |
$24K |
| T1001 |
Nursing assessment / evaluation |
31 |
31 |
$8K |
| 90715 |
|
71 |
71 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
80 |
$5K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$3K |
| S0612 |
Annual gynecological examination, established patient |
38 |
38 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 81025 |
|
86 |
84 |
$415.49 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
41 |
$0.00 |