| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
663 |
515 |
$62K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
191 |
175 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
65 |
64 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
50 |
$11K |
| 59025 |
Fetal non-stress test |
35 |
26 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$3K |
| 87806 |
|
27 |
27 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
83 |
81 |
$3K |
| 59430 |
|
12 |
12 |
$2K |
| 86762 |
|
27 |
27 |
$2K |
| 82950 |
|
49 |
49 |
$1K |
| 87340 |
|
14 |
14 |
$693.00 |
| 86592 |
|
14 |
14 |
$441.00 |
| 85018 |
|
32 |
32 |
$432.00 |