| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
229 |
$32K |
| 76818 |
|
122 |
71 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
58 |
44 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
32 |
28 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
15 |
15 |
$3K |
| 81002 |
|
255 |
198 |
$438.24 |