| Code | Description | Claims | Beneficiaries | Total Paid |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
73 |
73 |
$8K |
| 76830 |
Ultrasound, transvaginal |
81 |
81 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
111 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
75 |
73 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
64 |
$4K |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
72 |
72 |
$1K |
| 81000 |
|
77 |
76 |
$154.00 |