| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
226 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
188 |
144 |
$9K |
| 99205 |
Prolong outpt/office vis |
60 |
58 |
$8K |
| 76830 |
Ultrasound, transvaginal |
147 |
108 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
16 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
15 |
$935.00 |
| 81002 |
|
803 |
565 |
$750.31 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$627.00 |
| 81025 |
|
305 |
244 |
$422.66 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
14 |
$10.00 |
| 85018 |
|
91 |
60 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
20 |
14 |
$0.00 |
| 0501F |
|
22 |
13 |
$0.00 |
| 0502F |
|
118 |
71 |
$0.00 |