| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
611 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
130 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$3K |
| 80305 |
|
258 |
230 |
$3K |
| 76801 |
|
31 |
31 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
38 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$669.18 |
| 81025 |
|
43 |
41 |
$292.92 |