| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,342 |
4,442 |
$234K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,089 |
3,046 |
$180K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,553 |
1,036 |
$102K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,206 |
1,087 |
$95K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
552 |
513 |
$55K |
| 76830 |
Ultrasound, transvaginal |
613 |
493 |
$53K |
| 81002 |
|
11,368 |
5,850 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
365 |
349 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
87 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
39 |
$3K |
| 81025 |
|
275 |
229 |
$2K |