| 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 |
4,601 |
$223K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,780 |
2,448 |
$133K |
| 59430 |
|
473 |
447 |
$42K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
377 |
370 |
$40K |
| 76830 |
Ultrasound, transvaginal |
379 |
334 |
$35K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
282 |
264 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
234 |
226 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
103 |
95 |
$6K |
| 81025 |
|
655 |
618 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
61 |
57 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$989.68 |