| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,193 |
962 |
$74K |
| 76830 |
Ultrasound, transvaginal |
552 |
504 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
86 |
$8K |
| 76857 |
|
124 |
117 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$4K |
| 99401 |
|
112 |
104 |
$3K |
| 93976 |
|
20 |
15 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
51 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
52 |
52 |
$876.59 |
| 36415 |
Collection of venous blood by venipuncture |
423 |
378 |
$398.27 |
| 93000 |
|
13 |
13 |
$178.17 |