| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,045 |
2,628 |
$217K |
| 76830 |
Ultrasound, transvaginal |
1,746 |
1,728 |
$123K |
| 99215 |
Prolong outpt/office vis |
1,592 |
1,396 |
$123K |
| 99205 |
Prolong outpt/office vis |
197 |
197 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
381 |
366 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$2K |