| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
203 |
$0.00 |
| 81000 |
|
1,663 |
899 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
43 |
38 |
$0.00 |
| 76801 |
|
15 |
13 |
$0.00 |
| 59430 |
|
26 |
26 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
88 |
80 |
$0.00 |
| 85014 |
|
249 |
243 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
40 |
$0.00 |
| 59426 |
|
30 |
27 |
$0.00 |