| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
310 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
104 |
$8K |
| 76818 |
|
91 |
45 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
107 |
93 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
96 |
$7K |
| 76830 |
Ultrasound, transvaginal |
68 |
63 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
30 |
$1K |
| 81025 |
|
43 |
43 |
$294.07 |
| 81002 |
|
78 |
64 |
$217.67 |