| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,077 |
794 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
557 |
485 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
345 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
217 |
139 |
$12K |
| 99215 |
Prolong outpt/office vis |
208 |
116 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$4K |
| 81000 |
|
1,169 |
859 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
36 |
36 |
$3K |
| 99000 |
|
29 |
29 |
$220.00 |
| 81025 |
|
12 |
12 |
$80.42 |