| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,868 |
2,545 |
$63K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
117 |
105 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$5K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
28 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| 59025 |
Fetal non-stress test |
23 |
12 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |