| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
1,129 |
1,069 |
$159K |
| 76830 |
Ultrasound, transvaginal |
1,159 |
1,093 |
$110K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
954 |
910 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
828 |
755 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
349 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
111 |
$9K |
| 81025 |
|
1,287 |
1,155 |
$6K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
275 |
275 |
$5K |
| 99385 |
|
49 |
49 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$4K |
| 81001 |
|
21 |
21 |
$40.00 |
| 81002 |
|
19 |
19 |
$37.56 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
44 |
$6.10 |