| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,520 |
1,843 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
436 |
$9K |
| 99221 |
|
118 |
109 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
99 |
68 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
104 |
94 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
37 |
$4K |