| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
778 |
429 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
106 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
44 |
$7K |
| 0503F |
|
29 |
26 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
16 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$966.12 |
| 3008F |
|
21 |
18 |
$0.00 |
| 3074F |
|
80 |
66 |
$0.00 |
| 3078F |
|
33 |
30 |
$0.00 |