| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,183 |
2,492 |
$142K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
473 |
343 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
97 |
84 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
65 |
62 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$589.16 |