| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,875 |
1,440 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
647 |
$69K |
| 76818 |
|
535 |
197 |
$64K |
| 76830 |
Ultrasound, transvaginal |
431 |
412 |
$53K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
414 |
397 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
160 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
74 |
64 |
$9K |
| 80305 |
|
1,008 |
962 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,000 |
807 |
$4K |
| 81025 |
|
476 |
437 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
40 |
$1K |
| 87210 |
|
115 |
110 |
$307.06 |
| 86580 |
|
14 |
14 |
$54.21 |
| 81002 |
|
26 |
24 |
$38.50 |