| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,057 |
1,879 |
$182K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
644 |
644 |
$79K |
| 76830 |
Ultrasound, transvaginal |
84 |
84 |
$8K |
| 99459 |
|
323 |
318 |
$8K |
| 81002 |
|
1,990 |
1,968 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
27 |
$2K |
| 81025 |
|
1,151 |
1,113 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99072 |
|
18 |
18 |
$0.00 |