| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
233 |
230 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
677 |
673 |
$0.00 |
| 76857 |
|
347 |
345 |
$0.00 |
| 81003 |
|
248 |
222 |
$0.00 |
| 81002 |
|
494 |
437 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
64 |
64 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$0.00 |
| 81025 |
|
14 |
12 |
$0.00 |
| 88161 |
|
26 |
26 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
582 |
577 |
$0.00 |
| 88150 |
|
456 |
455 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,612 |
1,911 |
$0.00 |
| 99386 |
|
61 |
61 |
$0.00 |
| 99385 |
|
27 |
27 |
$0.00 |