| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,877 |
1,784 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,554 |
2,308 |
$116K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,532 |
1,790 |
$111K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,902 |
1,813 |
$100K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
843 |
820 |
$64K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,053 |
914 |
$52K |
| 81002 |
|
7,227 |
5,048 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
175 |
$10K |
| 81025 |
|
1,439 |
1,386 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
99 |
$9K |
| 59025 |
Fetal non-stress test |
294 |
95 |
$7K |
| 76801 |
|
106 |
97 |
$7K |
| 76818 |
|
79 |
67 |
$5K |
| 99442 |
|
93 |
85 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
32 |
29 |
$632.96 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
16 |
15 |
$260.96 |
| 99459 |
|
16 |
16 |
$217.20 |