| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,804 |
2,362 |
$244K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
694 |
669 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
506 |
465 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
198 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
189 |
131 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
81 |
$9K |
| 76818 |
|
52 |
27 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
21 |
15 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
16 |
$2K |
| 87070 |
|
162 |
155 |
$1K |
| 76830 |
Ultrasound, transvaginal |
16 |
14 |
$823.50 |
| 81025 |
|
256 |
236 |
$543.36 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
175 |
$0.00 |