| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,309 |
1,592 |
$187K |
| 76830 |
Ultrasound, transvaginal |
1,117 |
1,074 |
$132K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,133 |
1,088 |
$117K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
146 |
114 |
$15K |
| 93976 |
|
598 |
575 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
96 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
83 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
86 |
60 |
$7K |
| 76820 |
|
86 |
60 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
18 |
$2K |
| 99385 |
|
13 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
20 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$862.11 |
| 81025 |
|
46 |
45 |
$248.93 |
| 81002 |
|
60 |
58 |
$99.00 |
| 99000 |
|
12 |
12 |
$0.00 |