| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,574 |
7,166 |
$209K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
648 |
609 |
$15K |
| 59515 |
|
14 |
14 |
$13K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
354 |
291 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
153 |
132 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,226 |
1,174 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
44 |
$100.36 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
19 |
18 |
$0.00 |
| 0503F |
|
16 |
16 |
$0.00 |