| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
173 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
141 |
131 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
143 |
89 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
47 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
76 |
64 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
17 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$490.25 |
| 81025 |
|
97 |
94 |
$15.95 |
| 0502F |
|
13 |
12 |
$0.00 |
| 99024 |
|
96 |
84 |
$0.00 |
| 0500F |
|
13 |
12 |
$0.00 |
| 0501F |
|
13 |
12 |
$0.00 |