| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
575 |
553 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
753 |
562 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
473 |
466 |
$17K |
| 57150 |
|
422 |
384 |
$12K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
220 |
219 |
$5K |
| 99386 |
|
66 |
66 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
72 |
$3K |
| 99385 |
|
39 |
39 |
$2K |
| 99401 |
|
61 |
57 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$1K |
| 81002 |
|
552 |
547 |
$603.25 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
211 |
210 |
$0.00 |