| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 51729 |
|
29 |
27 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
91 |
$4K |
| 0502F |
|
96 |
48 |
$3K |
| 51792 |
|
29 |
27 |
$973.70 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
13 |
$910.41 |
| 0500F |
|
20 |
12 |
$661.50 |
| 76801 |
|
17 |
12 |
$650.70 |
| 51741 |
|
29 |
27 |
$642.83 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
14 |
$520.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$228.05 |
| 81002 |
|
45 |
41 |
$101.40 |
| 81025 |
|
26 |
16 |
$41.28 |