| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,457 |
8,871 |
$539K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
294 |
263 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
166 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
125 |
110 |
$8K |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 81025 |
|
154 |
141 |
$921.03 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$783.18 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$694.07 |
| 87210 |
|
13 |
13 |
$51.54 |