| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
762 |
529 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
81 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
31 |
27 |
$3K |
| 76830 |
Ultrasound, transvaginal |
15 |
14 |
$968.08 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$863.72 |
| 81002 |
|
482 |
308 |
$787.68 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$706.71 |
| 81025 |
|
93 |
87 |
$490.58 |
| 81003 |
|
79 |
51 |
$86.08 |