| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,214 |
4,193 |
$454K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,917 |
1,654 |
$138K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
651 |
478 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
309 |
282 |
$29K |
| 76801 |
|
234 |
201 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
136 |
130 |
$11K |
| 59430 |
|
40 |
40 |
$10K |
| 59025 |
Fetal non-stress test |
224 |
89 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
65 |
57 |
$7K |
| 76818 |
|
85 |
28 |
$6K |
| 81025 |
|
309 |
290 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$785.10 |