| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
137 |
135 |
$18K |
| 76801 |
|
49 |
45 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
77 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$831.90 |
| 76830 |
Ultrasound, transvaginal |
16 |
15 |
$672.17 |
| 81002 |
|
68 |
68 |
$120.80 |
| 36415 |
Collection of venous blood by venipuncture |
228 |
213 |
$72.02 |
| 81025 |
|
40 |
38 |
$70.80 |