| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
923 |
826 |
$57K |
| 76830 |
Ultrasound, transvaginal |
167 |
162 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
68 |
$7K |
| 87660 |
|
144 |
141 |
$3K |
| 87480 |
|
130 |
127 |
$3K |
| 87510 |
|
130 |
127 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$104.29 |