| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
652 |
458 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
522 |
510 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
109 |
109 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
90 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
162 |
$5K |
| 76830 |
Ultrasound, transvaginal |
56 |
56 |
$4K |
| 88141 |
|
39 |
29 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
25 |
$1K |
| 76801 |
|
14 |
14 |
$1K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
347 |
334 |
$312.50 |
| 81003 |
|
14 |
14 |
$27.16 |