| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,219 |
1,962 |
$274K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
577 |
520 |
$0.00 |
| 0502F |
|
1,306 |
784 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
103 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
49 |
49 |
$0.00 |
| 99242 |
|
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
82 |
$0.00 |
| 59025 |
Fetal non-stress test |
18 |
13 |
$0.00 |
| 0500F |
|
63 |
63 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
114 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
318 |
299 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
30 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
99 |
93 |
$0.00 |
| 76801 |
|
26 |
26 |
$0.00 |
| 59430 |
|
27 |
27 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
12 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$0.00 |