| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
482 |
440 |
$26K |
| 76830 |
Ultrasound, transvaginal |
90 |
81 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
124 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
240 |
227 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
37 |
$5K |
| 81003 |
|
1,707 |
1,173 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
376 |
338 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
29 |
29 |
$971.73 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$177.66 |
| 81025 |
|
13 |
12 |
$56.16 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
14 |
$0.00 |