| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
573 |
393 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
751 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
61 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$299.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
222 |
214 |
$0.00 |