| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,127 |
1,036 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,622 |
1,323 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,112 |
917 |
$41K |
| 76830 |
Ultrasound, transvaginal |
363 |
287 |
$25K |
| 59025 |
Fetal non-stress test |
133 |
37 |
$6K |
| 81025 |
|
410 |
344 |
$3K |
| 81003 |
|
542 |
485 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 87210 |
|
199 |
188 |
$978.87 |