| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
441 |
416 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
999 |
900 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
283 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
232 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
73 |
62 |
$8K |
| 58555 |
|
12 |
12 |
$3K |
| 76801 |
|
25 |
25 |
$3K |
| 58558 |
|
15 |
15 |
$2K |
| S0612 |
Annual gynecological examination, established patient |
57 |
57 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
113 |
109 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
27 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
16 |
$2K |
| 99000 |
|
710 |
688 |
$1K |