| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76818 |
|
1,522 |
862 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,428 |
1,135 |
$51K |
| 76830 |
Ultrasound, transvaginal |
571 |
497 |
$49K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
929 |
745 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
560 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
352 |
275 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
181 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
192 |
149 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
138 |
123 |
$10K |
| 59025 |
Fetal non-stress test |
202 |
176 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$4K |
| 76857 |
|
56 |
52 |
$2K |
| 81025 |
|
20 |
17 |
$89.40 |
| 81002 |
|
29 |
25 |
$60.40 |
| 0502F |
|
631 |
440 |
$0.00 |