| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
780 |
702 |
$54K |
| 76830 |
Ultrasound, transvaginal |
445 |
442 |
$35K |
| 93975 |
|
108 |
108 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
210 |
187 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
165 |
165 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
84 |
83 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$886.17 |
| 99000 |
|
149 |
137 |
$322.52 |
| 96127 |
|
55 |
52 |
$223.14 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
64 |
$156.15 |
| 81025 |
|
24 |
24 |
$56.47 |