| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
194 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
277 |
198 |
$0.00 |
| 81000 |
|
1,629 |
870 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| 85014 |
|
325 |
315 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
61 |
56 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
51 |
$0.00 |
| 59426 |
|
26 |
26 |
$0.00 |