| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,650 |
5,975 |
$369K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,013 |
4,947 |
$354K |
| 76830 |
Ultrasound, transvaginal |
2,140 |
2,069 |
$161K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
996 |
984 |
$91K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
559 |
536 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
388 |
375 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
145 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
126 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
37 |
37 |
$1K |
| 99385 |
|
13 |
13 |
$668.58 |
| 81025 |
|
52 |
52 |
$160.59 |