| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,065 |
1,329 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
729 |
422 |
$71K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
54 |
51 |
$4K |
| 0500F |
|
30 |
24 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$885.61 |
| H1000 |
Prenatal care, at-risk assessment |
28 |
24 |
$408.80 |