| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,669 |
1,502 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,459 |
1,333 |
$94K |
| 76998 |
|
529 |
481 |
$66K |
| S0612 |
Annual gynecological examination, established patient |
566 |
566 |
$62K |
| 99152 |
|
360 |
351 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
172 |
166 |
$14K |
| 59840 |
|
40 |
40 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
158 |
$7K |
| 85013 |
|
644 |
593 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
359 |
351 |
$455.46 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
318 |
309 |
$310.05 |
| 81025 |
|
42 |
40 |
$307.44 |
| J3490 |
Unclassified drugs |
24 |
24 |
$82.82 |