| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
638 |
476 |
$21K |
| 81002 |
|
4,725 |
2,792 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
41 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
795 |
665 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$1K |
| 99000 |
|
1,051 |
863 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$997.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$994.78 |