| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,423 |
5,935 |
$387K |
| 76830 |
Ultrasound, transvaginal |
2,383 |
2,375 |
$235K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
871 |
870 |
$69K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
249 |
249 |
$24K |
| 82270 |
|
1,896 |
1,895 |
$8K |
| 99215 |
Prolong outpt/office vis |
78 |
78 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
58 |
$2K |
| 99242 |
|
13 |
13 |
$920.40 |
| 99442 |
|
12 |
12 |
$300.00 |