| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
795 |
438 |
$76K |
| 0502F |
|
1,417 |
1,021 |
$74K |
| 76830 |
Ultrasound, transvaginal |
284 |
275 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
276 |
213 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
200 |
197 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
126 |
120 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
85 |
85 |
$6K |
| 76813 |
|
54 |
53 |
$4K |
| 59025 |
Fetal non-stress test |
45 |
25 |
$2K |
| 81002 |
|
289 |
165 |
$691.60 |
| 90686 |
|
13 |
12 |
$222.13 |