| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,760 |
1,636 |
$170K |
| 76830 |
Ultrasound, transvaginal |
657 |
625 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
263 |
$39K |
| 99401 |
|
1,117 |
1,064 |
$32K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
829 |
829 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
169 |
165 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
130 |
$17K |
| 87490 |
|
761 |
760 |
$15K |
| 81025 |
|
1,608 |
1,460 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
701 |
701 |
$4K |
| 99459 |
|
100 |
100 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |