| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
460 |
437 |
$28K |
| 76830 |
Ultrasound, transvaginal |
523 |
495 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
227 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
108 |
101 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
62 |
$4K |
| 99385 |
|
16 |
16 |
$1K |
| 57150 |
|
16 |
16 |
$741.06 |
| 81002 |
|
139 |
119 |
$317.17 |
| 87481 |
|
35 |
15 |
$201.10 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
15 |
15 |
$201.10 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
15 |
$97.45 |