| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,292 |
2,164 |
$126K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,390 |
1,390 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
577 |
567 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
367 |
366 |
$30K |
| 99385 |
|
151 |
151 |
$14K |
| 76830 |
Ultrasound, transvaginal |
162 |
162 |
$14K |
| 81025 |
|
2,954 |
2,903 |
$13K |
| 99386 |
|
88 |
88 |
$9K |
| 81002 |
|
3,948 |
3,884 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$4.05 |