| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
879 |
697 |
$48K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
15 |
14 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
189 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
47 |
44 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
234 |
213 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
29 |
$2K |
| 96127 |
|
426 |
379 |
$2K |
| 76820 |
|
36 |
12 |
$2K |
| 76801 |
|
16 |
16 |
$1K |
| 0500F |
|
245 |
150 |
$1K |
| 0501F |
|
19 |
16 |
$0.00 |
| 0502F |
|
56 |
52 |
$0.00 |