| Code | Description | Claims | Beneficiaries | Total Paid |
| 81000 |
|
1,383 |
744 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
141 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
56 |
51 |
$0.00 |
| 85014 |
|
195 |
187 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
77 |
69 |
$0.00 |
| 59426 |
|
25 |
24 |
$0.00 |