| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,481 |
1,201 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,397 |
994 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
553 |
501 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
288 |
281 |
$17K |
| 76830 |
Ultrasound, transvaginal |
311 |
254 |
$17K |
| 83986 |
|
1,439 |
1,258 |
$4K |
| 81025 |
|
643 |
350 |
$2K |
| 99442 |
|
12 |
12 |
$515.16 |