| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
45 |
41 |
$5K |
| 59840 |
|
15 |
15 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
71 |
71 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
17 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
28 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$183.38 |
| 81025 |
|
28 |
28 |
$175.26 |
| 81002 |
|
15 |
15 |
$41.27 |
| 86901 |
|
16 |
16 |
$40.64 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$14.14 |