| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,025 |
889 |
$62K |
| 76830 |
Ultrasound, transvaginal |
560 |
556 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
590 |
584 |
$38K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
263 |
263 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
177 |
176 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
38 |
$2K |
| 99385 |
|
12 |
12 |
$1K |