| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
3,617 |
3,547 |
$349K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,493 |
3,449 |
$294K |
| 58558 |
|
241 |
240 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,624 |
1,542 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,552 |
1,420 |
$101K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,129 |
1,129 |
$94K |
| 93976 |
|
1,727 |
1,688 |
$64K |
| 99385 |
|
375 |
375 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
258 |
258 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
310 |
310 |
$28K |
| 57150 |
|
731 |
723 |
$16K |
| 57454 |
|
39 |
39 |
$4K |
| 99386 |
|
26 |
26 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
13 |
$924.56 |
| 36415 |
Collection of venous blood by venipuncture |
564 |
549 |
$37.14 |
| 99024 |
|
42 |
36 |
$0.00 |
| 57452 |
|
12 |
12 |
$0.00 |