| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,587 |
974 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
875 |
599 |
$27K |
| 81002 |
|
2,453 |
1,485 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
59 |
57 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
83 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
55 |
54 |
$3K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 59430 |
|
12 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$918.26 |