| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,439 |
7,311 |
$570K |
| 76830 |
Ultrasound, transvaginal |
5,291 |
5,124 |
$395K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,319 |
3,298 |
$219K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,459 |
1,458 |
$136K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
579 |
579 |
$54K |
| 99443 |
|
502 |
479 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
362 |
362 |
$36K |
| 99385 |
|
268 |
268 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
134 |
$18K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
401 |
398 |
$10K |
| 99386 |
|
51 |
51 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,468 |
2,452 |
$3K |
| 93975 |
|
12 |
12 |
$2K |
| 81025 |
|
26 |
24 |
$74.45 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
89 |
$25.62 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
25 |
25 |
$0.00 |