| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
2,096 |
2,035 |
$324K |
| 76830 |
Ultrasound, transvaginal |
2,050 |
1,983 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,309 |
1,237 |
$89K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
412 |
397 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
283 |
283 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
280 |
262 |
$26K |
| 81025 |
|
3,008 |
2,839 |
$9K |
| 81002 |
|
4,876 |
4,161 |
$8K |
| 99401 |
|
180 |
173 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
13 |
$971.62 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,125 |
1,119 |
$43.74 |
| 99000 |
|
2,149 |
2,096 |
$0.00 |