| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,777 |
1,134 |
$61K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
878 |
383 |
$36K |
| 76830 |
Ultrasound, transvaginal |
415 |
330 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
363 |
285 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
121 |
63 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
54 |
$4K |
| 76820 |
|
101 |
51 |
$3K |
| 93976 |
|
34 |
34 |
$2K |
| 99441 |
|
89 |
47 |
$1K |
| 58661 |
|
27 |
27 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$467.32 |
| 81000 |
|
204 |
117 |
$277.34 |