| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,285 |
4,111 |
$466K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,569 |
8,424 |
$463K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
671 |
661 |
$72K |
| 59430 |
|
732 |
724 |
$60K |
| 76801 |
|
476 |
471 |
$44K |
| 81000 |
|
13,277 |
8,036 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
505 |
496 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
211 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
279 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
175 |
142 |
$11K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$2K |