| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,560 |
1,551 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,378 |
1,369 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
191 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
216 |
$3K |
| 99424 |
|
13 |
13 |
$936.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$821.58 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
687 |
683 |
$580.83 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
335 |
334 |
$419.19 |
| 57160 |
|
13 |
13 |
$361.88 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
181 |
181 |
$0.00 |
| 99072 |
|
39 |
37 |
$0.00 |