| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85014 |
|
206 |
203 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
91 |
85 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 59426 |
|
12 |
12 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
125 |
120 |
$0.00 |
| 81000 |
|
1,481 |
807 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
152 |
$0.00 |
| 59430 |
|
14 |
14 |
$0.00 |