| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,685 |
1,193 |
$133K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
298 |
261 |
$31K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
200 |
182 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
171 |
169 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
24 |
$2K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$1K |