| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
880 |
768 |
$43K |
| 59425 |
|
408 |
253 |
$25K |
| 76830 |
Ultrasound, transvaginal |
234 |
229 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
425 |
377 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
151 |
150 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
107 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
65 |
58 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
27 |
$3K |
| 81025 |
|
153 |
144 |
$424.76 |