| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,367 |
1,095 |
$104K |
| 0502F |
|
1,738 |
1,161 |
$77K |
| 76830 |
Ultrasound, transvaginal |
539 |
509 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
294 |
224 |
$20K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
169 |
69 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
69 |
$6K |
| 59430 |
|
33 |
26 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
27 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
38 |
$967.65 |
| 76801 |
|
14 |
14 |
$812.47 |
| 81025 |
|
68 |
50 |
$291.75 |
| 81002 |
|
14 |
13 |
$36.40 |