| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
28 |
27 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
81 |
73 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
45 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
45 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
182 |
$2K |
| 81002 |
|
729 |
517 |
$1K |
| 81025 |
|
193 |
184 |
$1K |
| 81007 |
|
568 |
334 |
$27.58 |