| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
12,870 |
12,251 |
$1.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,747 |
14,415 |
$1.07M |
| 99385 |
|
3,406 |
3,406 |
$358K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,637 |
3,636 |
$306K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,065 |
3,064 |
$287K |
| 76857 |
|
4,823 |
4,660 |
$231K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,424 |
2,424 |
$228K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
834 |
834 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,855 |
1,804 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
590 |
590 |
$78K |
| 58558 |
|
83 |
83 |
$74K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,632 |
3,631 |
$71K |
| 99386 |
|
431 |
431 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
486 |
$43K |
| 57454 |
|
289 |
289 |
$38K |
| 58340 |
|
194 |
194 |
$31K |
| 93976 |
|
158 |
157 |
$27K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,887 |
2,885 |
$25K |
| 76831 |
|
168 |
168 |
$15K |
| 81025 |
|
2,755 |
2,626 |
$10K |
| 99459 |
|
376 |
376 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
6,557 |
6,357 |
$4K |
| 58300 |
|
52 |
50 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
27 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 58301 |
|
12 |
12 |
$811.72 |