| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
338 |
$21K |
| 76830 |
Ultrasound, transvaginal |
214 |
200 |
$14K |
| 59426 |
|
15 |
15 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$780.96 |
| 81002 |
|
216 |
198 |
$580.92 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$15.86 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
30 |
28 |
$0.00 |