| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
1,436 |
975 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
680 |
457 |
$66K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
527 |
515 |
$34K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
435 |
380 |
$32K |
| 76801 |
|
445 |
422 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
206 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$808.48 |