| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,283 |
2,584 |
$218K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
793 |
509 |
$74K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
728 |
714 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
573 |
539 |
$40K |
| 76801 |
|
489 |
472 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
62 |
$2K |
| 90715 |
|
32 |
25 |
$938.15 |
| 0500F |
|
12 |
12 |
$529.20 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$175.20 |