| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
981 |
904 |
$47K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
155 |
143 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
94 |
89 |
$5K |
| 76830 |
Ultrasound, transvaginal |
42 |
39 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
28 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 76801 |
|
13 |
12 |
$836.76 |