| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
639 |
469 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
562 |
414 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
976 |
818 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
471 |
374 |
$21K |
| 81002 |
|
2,685 |
1,614 |
$7K |
| S8301 |
Infection control supplies, not otherwise specified |
647 |
390 |
$5K |
| 76830 |
Ultrasound, transvaginal |
45 |
43 |
$3K |
| 85018 |
|
1,030 |
779 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
23 |
12 |
$1K |
| 59430 |
|
34 |
28 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$747.58 |
| 90715 |
|
19 |
18 |
$499.05 |
| 81025 |
|
45 |
44 |
$283.64 |
| 81003 |
|
29 |
25 |
$51.45 |