| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
233 |
$37K |
| 0502F |
|
455 |
374 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
237 |
133 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
208 |
199 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
168 |
157 |
$12K |
| 76830 |
Ultrasound, transvaginal |
148 |
141 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
81 |
64 |
$6K |
| 76813 |
|
26 |
26 |
$2K |
| 81002 |
|
21 |
14 |
$52.00 |