| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,327 |
1,092 |
$59K |
| 59426 |
|
421 |
169 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
148 |
125 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
153 |
124 |
$8K |
| 59425 |
|
116 |
65 |
$8K |
| 99205 |
Prolong outpt/office vis |
64 |
57 |
$8K |
| 81025 |
|
363 |
296 |
$2K |
| 76818 |
|
22 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
70 |
37 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
199 |
178 |
$388.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$212.73 |
| 81002 |
|
100 |
90 |
$165.81 |
| 87210 |
|
32 |
31 |
$111.88 |
| 85018 |
|
16 |
13 |
$31.32 |