| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
551 |
443 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
542 |
442 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
600 |
479 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
224 |
197 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
47 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
27 |
$2K |
| 81025 |
|
227 |
194 |
$1K |
| 99385 |
|
13 |
12 |
$827.69 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
14 |
$786.37 |
| 81002 |
|
167 |
144 |
$455.62 |
| 81003 |
|
125 |
112 |
$222.14 |
| 0502F |
|
2,096 |
1,250 |
$0.00 |
| 0503F |
|
14 |
13 |
$0.00 |