| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
1,241 |
1,205 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,718 |
1,428 |
$96K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,047 |
1,025 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
377 |
377 |
$28K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
742 |
737 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
232 |
218 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
764 |
702 |
$2K |
| 81002 |
|
1,075 |
638 |
$2K |
| 99459 |
|
33 |
33 |
$579.91 |
| 99000 |
|
69 |
67 |
$0.00 |