| Code | Description | Claims | Beneficiaries | Total Paid |
| 57065 |
|
2,913 |
2,179 |
$511K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,457 |
3,142 |
$198K |
| 76830 |
Ultrasound, transvaginal |
1,645 |
1,600 |
$148K |
| 57150 |
|
1,340 |
1,226 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
655 |
628 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
212 |
$18K |
| 81025 |
|
3,093 |
2,906 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
172 |
172 |
$12K |
| 87210 |
|
1,555 |
1,412 |
$6K |
| 81002 |
|
3,237 |
3,032 |
$5K |
| 57452 |
|
42 |
41 |
$4K |
| 81000 |
|
347 |
321 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96127 |
|
177 |
174 |
$706.58 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$463.18 |
| 99070 |
|
56 |
54 |
$0.00 |