| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,544 |
4,186 |
$454K |
| 76830 |
Ultrasound, transvaginal |
1,187 |
1,099 |
$117K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
219 |
217 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
139 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
155 |
153 |
$12K |
| 59430 |
|
67 |
67 |
$12K |
| 76801 |
|
101 |
101 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$2K |
| 59025 |
Fetal non-stress test |
50 |
25 |
$2K |