| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
163 |
163 |
$12K |
| 81002 |
|
3,658 |
2,293 |
$11K |
| H1000 |
Prenatal care, at-risk assessment |
177 |
177 |
$4K |
| 81025 |
|
229 |
221 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
390 |
359 |
$982.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$279.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
15 |
$241.06 |