| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,453 |
14,506 |
$1.54M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,091 |
7,083 |
$924K |
| 76830 |
Ultrasound, transvaginal |
4,026 |
3,900 |
$486K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,912 |
2,907 |
$350K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,615 |
679 |
$210K |
| 99386 |
|
757 |
755 |
$120K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
752 |
752 |
$91K |
| 57454 |
|
359 |
359 |
$64K |
| 81025 |
|
4,308 |
4,061 |
$30K |
| 58558 |
|
15 |
15 |
$23K |
| 76801 |
|
67 |
53 |
$9K |
| 99385 |
|
13 |
13 |
$2K |
| 58301 |
|
12 |
12 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$322.98 |