| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
478 |
301 |
$16K |
| 99205 |
Prolong outpt/office vis |
121 |
105 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
369 |
255 |
$13K |
| 76801 |
|
168 |
141 |
$12K |
| 59425 |
|
266 |
124 |
$6K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$3K |
| 81025 |
|
531 |
434 |
$3K |
| 80305 |
|
291 |
248 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
63 |
41 |
$3K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
131 |
117 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
649 |
489 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
83 |
$886.71 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
23 |
13 |
$667.10 |
| 59426 |
|
49 |
14 |
$520.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$112.22 |
| 87210 |
|
32 |
27 |
$110.04 |
| 85013 |
|
37 |
13 |
$12.60 |
| 36416 |
|
37 |
14 |
$0.00 |