| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
148 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
157 |
156 |
$2K |
| 76830 |
Ultrasound, transvaginal |
115 |
114 |
$2K |
| 93976 |
|
55 |
55 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
29 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$338.26 |