| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,574 |
1,456 |
$118K |
| 76830 |
Ultrasound, transvaginal |
1,232 |
1,171 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
470 |
470 |
$51K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
516 |
495 |
$34K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
271 |
207 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
331 |
183 |
$18K |
| 76820 |
|
381 |
216 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
92 |
$11K |
| 99459 |
|
418 |
388 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
155 |
141 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
133 |
100 |
$7K |
| 76818 |
|
81 |
48 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 81002 |
|
664 |
405 |
$866.32 |
| 0502F |
|
1,675 |
973 |
$0.00 |