| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,062 |
4,795 |
$303K |
| 99215 |
Prolong outpt/office vis |
1,014 |
1,008 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,820 |
1,814 |
$105K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,139 |
1,139 |
$105K |
| 99205 |
Prolong outpt/office vis |
619 |
613 |
$100K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
535 |
535 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
334 |
334 |
$38K |
| 76830 |
Ultrasound, transvaginal |
246 |
246 |
$20K |
| 87070 |
|
2,659 |
2,648 |
$15K |
| 81002 |
|
4,402 |
4,369 |
$8K |
| 99386 |
|
51 |
51 |
$6K |
| 51784 |
|
66 |
65 |
$4K |
| 99385 |
|
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,081 |
2,037 |
$2K |
| 88150 |
|
32 |
32 |
$265.39 |
| 81025 |
|
44 |
43 |
$211.75 |