| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187 |
130 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
46 |
41 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
71 |
49 |
$4K |
| 76801 |
|
34 |
30 |
$2K |
| 62326 |
|
13 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$951.70 |
| 80305 |
|
62 |
56 |
$660.60 |