| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
651 |
532 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
349 |
345 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
378 |
346 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
569 |
491 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
129 |
118 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
76 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$2K |
| 81002 |
|
619 |
478 |
$2K |