| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99201 |
|
104 |
104 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
23 |
$638.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
559 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
38 |
36 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
364 |
332 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
288 |
263 |
$0.00 |
| 76825 |
|
29 |
27 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
211 |
204 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
94 |
$0.00 |