| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,318 |
3,415 |
$293K |
| 76830 |
Ultrasound, transvaginal |
1,771 |
1,716 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
178 |
178 |
$17K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
238 |
237 |
$9K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
562 |
559 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
67 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
54 |
$5K |
| 81005 |
|
2,333 |
2,067 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$2K |
| 81002 |
|
654 |
565 |
$1K |
| 88174 |
|
85 |
85 |
$1K |
| 76857 |
|
17 |
17 |
$800.43 |
| 99401 |
|
40 |
39 |
$630.79 |
| 81025 |
|
27 |
26 |
$50.20 |