| Code | Description | Claims | Beneficiaries | Total Paid |
| 76830 |
Ultrasound, transvaginal |
340 |
326 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
305 |
293 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
451 |
397 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
57 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
274 |
274 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
12 |
$1K |
| 76857 |
|
16 |
16 |
$749.76 |
| 99441 |
|
57 |
52 |
$659.67 |
| 81002 |
|
169 |
104 |
$115.98 |