| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
304 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
146 |
141 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
114 |
$8K |
| 76830 |
Ultrasound, transvaginal |
137 |
135 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
81 |
78 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
46 |
33 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
32 |
$3K |