| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
2,312 |
1,018 |
$212K |
| 59425 |
|
1,640 |
1,210 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,235 |
1,739 |
$120K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,150 |
986 |
$91K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
62 |
56 |
$6K |
| 76801 |
|
15 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |