| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,437 |
2,830 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
794 |
753 |
$64K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
384 |
374 |
$34K |
| 76830 |
Ultrasound, transvaginal |
293 |
283 |
$30K |
| 99000 |
|
4,023 |
3,549 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
108 |
104 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
38 |
$3K |
| 81002 |
|
786 |
721 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$599.14 |