| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,133 |
1,561 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,108 |
819 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
484 |
464 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
78 |
$14K |
| 76801 |
|
96 |
96 |
$7K |
| 0500F |
|
103 |
81 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
65 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
67 |
64 |
$5K |
| 81025 |
|
104 |
84 |
$490.67 |
| 3074F |
|
28 |
27 |
$0.00 |
| 3008F |
|
32 |
31 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |