| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,406 |
3,391 |
$259K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
661 |
630 |
$42K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
248 |
245 |
$27K |
| 81002 |
|
5,322 |
3,199 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
98 |
98 |
$13K |
| 59410 |
|
12 |
12 |
$9K |
| 59430 |
|
91 |
91 |
$9K |
| 99000 |
|
763 |
701 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201 |
163 |
$7K |
| 81025 |
|
636 |
606 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$1K |
| 76813 |
|
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
28 |
$374.28 |
| 87210 |
|
65 |
61 |
$308.18 |
| 99459 |
|
16 |
16 |
$0.00 |