| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
261 |
248 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
147 |
$5K |
| 76801 |
|
58 |
55 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
24 |
$240.00 |
| H1000 |
Prenatal care, at-risk assessment |
18 |
12 |
$100.00 |
| 81025 |
|
12 |
12 |
$36.00 |