| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,251 |
1,100 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
638 |
619 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
247 |
227 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
269 |
268 |
$22K |
| 76830 |
Ultrasound, transvaginal |
244 |
240 |
$20K |
| 99385 |
|
25 |
25 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
28 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
20 |
12 |
$858.15 |
| 81025 |
|
148 |
147 |
$695.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$567.75 |
| 81002 |
|
131 |
100 |
$204.72 |