| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,208 |
2,059 |
$129K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
24 |
24 |
$49K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
154 |
154 |
$18K |
| 76830 |
Ultrasound, transvaginal |
226 |
208 |
$15K |
| 76813 |
|
60 |
57 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 54150 |
|
12 |
12 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$880.71 |
| 0502F |
|
145 |
123 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 3008F |
|
24 |
24 |
$0.00 |