| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
24 |
24 |
$0.00 |
| 85014 |
|
107 |
105 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
117 |
89 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
146 |
$0.00 |
| 81000 |
|
1,371 |
735 |
$0.00 |
| 59430 |
|
24 |
24 |
$0.00 |