| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
540 |
421 |
$34K |
| 81000 |
|
3,041 |
1,813 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
175 |
133 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
150 |
104 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
359 |
283 |
$8K |
| 81025 |
|
203 |
166 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
12 |
$916.30 |
| 99070 |
|
58 |
50 |
$73.50 |