| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,429 |
2,825 |
$267K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
875 |
748 |
$96K |
| 76830 |
Ultrasound, transvaginal |
940 |
830 |
$86K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
886 |
785 |
$65K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
512 |
493 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
109 |
$12K |
| 81025 |
|
1,017 |
933 |
$6K |
| 99050 |
|
628 |
545 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
76 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
198 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$2K |
| 99385 |
|
13 |
13 |
$2K |
| 3015F |
|
12 |
12 |
$240.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$69.31 |