| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,612 |
1,251 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
146 |
126 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
127 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
194 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
141 |
113 |
$9K |
| 0500F |
|
138 |
115 |
$5K |
| 76830 |
Ultrasound, transvaginal |
63 |
58 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
13 |
$2K |
| 76801 |
|
21 |
17 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
15 |
$1K |
| 81025 |
|
200 |
159 |
$376.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$147.15 |