| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
982 |
877 |
$41K |
| 0502F |
|
305 |
224 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
61 |
$8K |
| 76830 |
Ultrasound, transvaginal |
57 |
46 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
39 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
43 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
43 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
26 |
$304.11 |
| 87088 |
|
16 |
16 |
$180.96 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
69 |
$0.00 |