| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
825 |
638 |
$138K |
| 76830 |
Ultrasound, transvaginal |
1,298 |
1,065 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
994 |
861 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
816 |
743 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
140 |
$13K |
| 99386 |
|
94 |
94 |
$10K |
| 99385 |
|
47 |
47 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
64 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$3K |
| 96127 |
|
302 |
302 |
$1K |
| 88141 |
|
13 |
13 |
$129.48 |
| 81002 |
|
140 |
139 |
$33.45 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
107 |
$21.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
270 |
269 |
$0.00 |