| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
897 |
722 |
$32K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
89 |
67 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
87 |
67 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
40 |
$3K |
| 59025 |
Fetal non-stress test |
115 |
80 |
$2K |
| 81002 |
|
1,674 |
1,065 |
$2K |
| 81025 |
|
255 |
211 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$838.30 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$647.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
13 |
$644.14 |
| 3292F |
|
35 |
30 |
$0.00 |
| 0501F |
|
17 |
14 |
$0.00 |
| 3512F |
|
34 |
29 |
$0.00 |
| 3514F |
|
17 |
14 |
$0.00 |
| 3511F |
|
149 |
117 |
$0.00 |
| 0502F |
|
1,542 |
962 |
$0.00 |
| 3293F |
|
34 |
29 |
$0.00 |
| 3513F |
|
32 |
27 |
$0.00 |