| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,746 |
3,112 |
$386K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,888 |
1,645 |
$103K |
| 74740 |
|
1,004 |
819 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$2K |
| 54150 |
|
31 |
26 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$786.20 |
| 81002 |
|
194 |
189 |
$358.45 |