| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
2,410 |
2,350 |
$355K |
| 76830 |
Ultrasound, transvaginal |
2,417 |
2,355 |
$220K |
| 57150 |
|
2,665 |
2,518 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
641 |
584 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
397 |
$43K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
580 |
571 |
$30K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
422 |
421 |
$16K |
| 57510 |
|
97 |
96 |
$14K |
| 57180 |
|
68 |
68 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
140 |
$14K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
878 |
873 |
$13K |
| 99459 |
|
148 |
146 |
$3K |
| 81025 |
|
1,070 |
1,018 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99000 |
|
1,228 |
1,170 |
$0.00 |
| 99072 |
|
19 |
18 |
$0.00 |