| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
1,512 |
1,084 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
627 |
371 |
$58K |
| 76830 |
Ultrasound, transvaginal |
359 |
355 |
$25K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
209 |
201 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
205 |
194 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
168 |
151 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$966.12 |
| 81002 |
|
361 |
229 |
$819.41 |
| 90686 |
|
36 |
28 |
$704.62 |
| 90656 |
|
16 |
16 |
$330.24 |