| Code | Description | Claims | Bene. Records | Total Paid |
| 76830 |
Ultrasound, transvaginal |
82 |
81 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
89 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
80 |
78 |
$9K |
| 99385 |
|
87 |
87 |
$8K |
| 93975 |
|
81 |
79 |
$3K |
| 81025 |
|
196 |
185 |
$1K |
| 96160 |
|
235 |
219 |
$540.17 |
| 81002 |
|
139 |
138 |
$463.40 |
| 76377 |
|
30 |
30 |
$446.55 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
142 |
141 |
$363.44 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
142 |
141 |
$263.64 |
| 99402 |
|
93 |
92 |
$251.61 |
| 99403 |
|
19 |
19 |
$42.00 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
77 |
$5.31 |