| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,513 |
1,814 |
$156K |
| 0502F |
|
2,679 |
1,510 |
$135K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
300 |
291 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
151 |
151 |
$9K |
| 76830 |
Ultrasound, transvaginal |
126 |
123 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
53 |
$4K |
| 0500F |
|
31 |
31 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
31 |
31 |
$452.60 |