| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,717 |
1,567 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,317 |
2,859 |
$167K |
| 96156 |
|
1,251 |
1,127 |
$64K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
843 |
785 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
425 |
379 |
$34K |
| 81002 |
|
6,609 |
4,490 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
119 |
106 |
$8K |
| 59426 |
|
13 |
12 |
$8K |
| 81025 |
|
1,050 |
980 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
58 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
295 |
262 |
$3K |
| 96150 |
|
268 |
256 |
$1K |
| 85018 |
|
13 |
13 |
$19.88 |