| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
307 |
$44K |
| 0502F |
|
593 |
401 |
$35K |
| 76830 |
Ultrasound, transvaginal |
372 |
349 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
175 |
151 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
128 |
115 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
84 |
81 |
$6K |
| 81002 |
|
16 |
13 |
$41.60 |