| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,221 |
484 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
281 |
129 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
354 |
181 |
$32K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
319 |
85 |
$25K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
202 |
105 |
$7K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
144 |
80 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
36 |
15 |
$3K |