| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,208 |
1,960 |
$138K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
965 |
758 |
$127K |
| 76830 |
Ultrasound, transvaginal |
379 |
355 |
$35K |
| 87797 |
|
508 |
495 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
129 |
$13K |
| 87480 |
|
509 |
496 |
$9K |
| 87510 |
|
508 |
495 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
20 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| 76820 |
|
22 |
13 |
$869.22 |
| 81025 |
|
197 |
189 |
$783.18 |