| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,665 |
2,873 |
$223K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
72 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
53 |
$5K |
| 76830 |
Ultrasound, transvaginal |
57 |
55 |
$5K |
| 81000 |
|
1,958 |
1,452 |
$5K |
| 81002 |
|
2,141 |
1,579 |
$3K |
| 57420 |
|
26 |
25 |
$3K |
| 56820 |
|
13 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$1K |
| 99441 |
|
15 |
15 |
$371.94 |
| 81025 |
|
68 |
64 |
$317.58 |