| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,548 |
2,472 |
$181K |
| 76830 |
Ultrasound, transvaginal |
444 |
439 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
376 |
376 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
354 |
342 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
93 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
120 |
113 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
123 |
117 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
96 |
96 |
$10K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
279 |
279 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
53 |
53 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
53 |
53 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
68 |
68 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
92 |
$1K |
| 81025 |
|
50 |
50 |
$384.87 |
| 81002 |
|
275 |
256 |
$81.79 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$0.00 |