| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,189 |
904 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
448 |
370 |
$15K |
| 76801 |
|
94 |
56 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
91 |
50 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
64 |
51 |
$3K |
| 76830 |
Ultrasound, transvaginal |
41 |
36 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
26 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$763.67 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$719.00 |
| 0500F |
|
18 |
12 |
$705.60 |
| 81025 |
|
123 |
100 |
$279.16 |