| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76536 |
|
2,821 |
1,887 |
$73K |
| 10005 |
|
1,083 |
619 |
$32K |
| 76830 |
Ultrasound, transvaginal |
500 |
320 |
$18K |
| 93976 |
|
74 |
41 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
397 |
268 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
42 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
16 |
$1K |
| 10006 |
|
34 |
14 |
$347.66 |
| J3490 |
Unclassified drugs |
219 |
195 |
$22.50 |
| A4215 |
Needle, sterile, any size, each |
141 |
122 |
$0.00 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
225 |
198 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
229 |
201 |
$0.00 |