| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
672 |
607 |
$41K |
| 76830 |
Ultrasound, transvaginal |
408 |
382 |
$34K |
| 99385 |
|
58 |
58 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18 |
14 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 81025 |
|
351 |
349 |
$1K |
| 81002 |
|
529 |
427 |
$1K |
| 84703 |
|
301 |
300 |
$894.36 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
79 |
$59.64 |