| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
534 |
415 |
$28K |
| 59426 |
|
234 |
104 |
$19K |
| 59425 |
|
222 |
148 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
81 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
29 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$1K |
| 81025 |
|
201 |
173 |
$1K |
| 80305 |
|
74 |
66 |
$733.67 |