| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,084 |
1,831 |
$156K |
| 76830 |
Ultrasound, transvaginal |
1,070 |
1,055 |
$91K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
120 |
$14K |
| 99050 |
|
809 |
738 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
326 |
305 |
$26.65 |
| 99000 |
|
1,667 |
1,560 |
$0.00 |
| 99058 |
|
120 |
112 |
$0.00 |