| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,113 |
715 |
$44K |
| 99218 |
|
361 |
299 |
$15K |
| 59410 |
|
12 |
12 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
84 |
76 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
41 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
29 |
28 |
$2K |
| 54150 |
|
27 |
25 |
$1K |