| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,992 |
1,782 |
$194K |
| 76830 |
Ultrasound, transvaginal |
1,127 |
1,041 |
$145K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,151 |
1,068 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
653 |
628 |
$91K |
| 93975 |
|
242 |
240 |
$50K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
423 |
423 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
212 |
212 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
243 |
$28K |
| 81025 |
|
3,205 |
2,812 |
$26K |
| 99385 |
|
77 |
77 |
$8K |
| 76377 |
|
321 |
315 |
$4K |
| 96127 |
|
616 |
599 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
36 |
$3K |
| 81000 |
|
100 |
98 |
$396.97 |