| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
239 |
186 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
170 |
121 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
39 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
93 |
38 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$929.88 |
| 81025 |
|
307 |
272 |
$795.42 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
25 |
13 |
$638.07 |
| 99024 |
|
15 |
12 |
$0.00 |