| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,814 |
1,044 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
564 |
384 |
$56K |
| 76801 |
|
110 |
88 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
39 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
39 |
$3K |
| 90686 |
|
33 |
29 |
$460.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$231.84 |