| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
940 |
695 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
542 |
343 |
$48K |
| 76830 |
Ultrasound, transvaginal |
165 |
156 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
147 |
127 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
95 |
94 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
74 |
71 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
17 |
$3K |
| 90686 |
|
12 |
12 |
$258.24 |
| 81002 |
|
35 |
31 |
$85.80 |