| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,272 |
1,690 |
$103K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
151 |
118 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
211 |
81 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
33 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
34 |
30 |
$1K |
| 76801 |
|
14 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
14 |
$971.99 |