| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,199 |
3,127 |
$180K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,271 |
492 |
$63K |
| 76830 |
Ultrasound, transvaginal |
981 |
685 |
$59K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,009 |
701 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
424 |
388 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
436 |
378 |
$33K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
430 |
114 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
151 |
$13K |
| 93976 |
|
363 |
258 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
151 |
99 |
$11K |
| 76820 |
|
350 |
113 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
64 |
$5K |
| 81025 |
|
994 |
786 |
$4K |
| 99385 |
|
37 |
26 |
$2K |
| 76801 |
|
20 |
17 |
$2K |
| 76813 |
|
13 |
13 |
$1K |
| 99403 |
|
20 |
18 |
$1K |
| 81002 |
|
728 |
644 |
$960.86 |
| 99402 |
|
18 |
16 |
$857.04 |
| 0502F |
|
356 |
232 |
$0.00 |