| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,253 |
805 |
$144K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
120 |
117 |
$26K |
| 81003 |
|
1,216 |
791 |
$21K |
| 59430 |
|
38 |
38 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
48 |
45 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$958.10 |
| 85018 |
|
56 |
55 |
$902.16 |
| 82947 |
|
13 |
13 |
$210.60 |