| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
651 |
622 |
$36K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
178 |
139 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
71 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
132 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,528 |
1,360 |
$4K |
| 87797 |
|
81 |
77 |
$2K |
| 87480 |
|
112 |
108 |
$2K |
| 87510 |
|
112 |
108 |
$2K |
| 81000 |
|
491 |
476 |
$2K |
| 87660 |
|
27 |
27 |
$513.02 |
| 99000 |
|
13 |
13 |
$0.00 |