| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,960 |
3,327 |
$168K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,742 |
3,379 |
$138K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
2,007 |
1,908 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
782 |
743 |
$46K |
| 81025 |
|
681 |
649 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
45 |
$2K |
| 76857 |
|
28 |
28 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
444 |
430 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$955.78 |
| 59025 |
Fetal non-stress test |
36 |
27 |
$923.02 |
| S9999 |
Sales tax |
2,615 |
1,693 |
$755.22 |
| 99201 |
|
22 |
22 |
$721.08 |
| 87210 |
|
53 |
52 |
$273.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$148.87 |
| 0502F |
|
42 |
31 |
$0.00 |
| 99051 |
|
13 |
13 |
$0.00 |