| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
1,164 |
1,149 |
$88K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
921 |
864 |
$68K |
| 76818 |
|
269 |
183 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
646 |
629 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
387 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
493 |
493 |
$11K |
| 76801 |
|
126 |
125 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
107 |
93 |
$9K |
| 76813 |
|
56 |
56 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
106 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
115 |
113 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$897.80 |
| 96160 |
|
24 |
24 |
$79.38 |
| 0502F |
|
659 |
554 |
$0.00 |