| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,681 |
2,342 |
$203K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
173 |
173 |
$19K |
| 76830 |
Ultrasound, transvaginal |
138 |
132 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
74 |
$8K |
| 87070 |
|
799 |
770 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$2K |
| 81025 |
|
914 |
894 |
$2K |
| 88150 |
|
155 |
155 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
362 |
328 |
$503.95 |
| 81002 |
|
43 |
40 |
$86.10 |