| Code | Description | Claims | Beneficiaries | Total Paid |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,483 |
2,464 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,832 |
1,753 |
$140K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
835 |
835 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
175 |
$16K |
| 88161 |
|
251 |
251 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
16 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
32 |
$4K |
| 99386 |
|
12 |
12 |
$1K |
| 36410 |
|
18 |
17 |
$124.81 |