| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,344 |
642 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
92 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
83 |
$15K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
239 |
140 |
$8K |
| 76801 |
|
64 |
42 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
12 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
60 |
29 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
124 |
73 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
37 |
15 |
$1K |
| 99070 |
|
12 |
12 |
$240.00 |