| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
836 |
587 |
$37K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
80 |
62 |
$5K |
| 76830 |
Ultrasound, transvaginal |
23 |
22 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
13 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$966.14 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$707.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$168.30 |
| 81003 |
|
13 |
13 |
$17.34 |