| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,161 |
1,033 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
563 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
140 |
124 |
$10K |
| 76830 |
Ultrasound, transvaginal |
38 |
36 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
25 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
81 |
76 |
$2K |
| 99215 |
Prolong outpt/office vis |
20 |
17 |
$2K |
| 81025 |
|
361 |
336 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
57 |
49 |
$539.30 |
| 99000 |
|
1,979 |
1,867 |
$11.00 |