| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,169 |
1,074 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
186 |
$13K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
84 |
82 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$876.64 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
44 |
43 |
$380.82 |
| 96127 |
|
78 |
77 |
$313.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$231.49 |
| 90688 |
|
14 |
13 |
$201.04 |
| 81025 |
|
12 |
12 |
$61.22 |