| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,127 |
1,051 |
$70K |
| 96156 |
|
751 |
601 |
$52K |
| 96152 |
|
1,111 |
839 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
133 |
129 |
$15K |
| 59426 |
|
13 |
13 |
$11K |
| 59025 |
Fetal non-stress test |
259 |
185 |
$9K |
| 87510 |
|
406 |
385 |
$5K |
| 87660 |
|
406 |
385 |
$5K |
| 87480 |
|
406 |
385 |
$5K |
| 76830 |
Ultrasound, transvaginal |
55 |
52 |
$5K |
| 96150 |
|
87 |
78 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
37 |
25 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
25 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 81025 |
|
197 |
187 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$805.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$296.95 |
| 81002 |
|
14 |
13 |
$29.28 |