| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
178 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
26 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
47 |
38 |
$1K |
| 76801 |
|
18 |
15 |
$675.66 |
| 0502F |
|
90 |
52 |
$0.00 |