| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,215 |
2,401 |
$207K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,285 |
521 |
$61K |
| 76830 |
Ultrasound, transvaginal |
462 |
251 |
$15K |
| 99070 |
|
469 |
368 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
127 |
$8K |
| 99401 |
|
624 |
494 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
507 |
192 |
$7K |
| 99443 |
|
123 |
113 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
31 |
$2K |
| 99442 |
|
47 |
44 |
$2K |
| 76818 |
|
33 |
18 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$368.64 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$343.68 |