| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,274 |
2,090 |
$114K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
163 |
163 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
516 |
516 |
$10K |
| 81002 |
|
3,228 |
2,094 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
96 |
$8K |
| 81025 |
|
938 |
916 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$6K |
| 76801 |
|
78 |
74 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
50 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
21 |
$2K |
| 99385 |
|
14 |
14 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$845.99 |
| 0502F |
|
2,249 |
1,348 |
$0.02 |