| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
142 |
$7K |
| 76830 |
Ultrasound, transvaginal |
355 |
351 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
209 |
208 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
47 |
37 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$455.84 |
| 76857 |
|
13 |
13 |
$246.61 |
| G9459 |
Currently a tobacco non-user |
13 |
13 |
$0.00 |