| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,709 |
2,279 |
$83K |
| 76830 |
Ultrasound, transvaginal |
841 |
774 |
$70K |
| 76818 |
|
822 |
690 |
$64K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,721 |
1,519 |
$55K |
| 59510 |
|
24 |
14 |
$52K |
| 57150 |
|
1,216 |
1,153 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
443 |
437 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
344 |
249 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
371 |
339 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
173 |
151 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
124 |
103 |
$8K |
| 76801 |
|
49 |
12 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$1K |
| 59025 |
Fetal non-stress test |
16 |
13 |
$79.59 |