| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,153 |
10,414 |
$733K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,635 |
4,034 |
$97K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,678 |
2,060 |
$87K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,616 |
1,438 |
$40K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
727 |
696 |
$36K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
409 |
360 |
$32K |
| 99241 |
|
602 |
581 |
$29K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
252 |
224 |
$16K |
| 59025 |
Fetal non-stress test |
498 |
253 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
163 |
138 |
$12K |
| 99201 |
|
268 |
257 |
$6K |
| 76820 |
|
173 |
158 |
$6K |