| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
608 |
515 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
104 |
91 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
160 |
133 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,090 |
931 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97 |
84 |
$2K |
| 76801 |
|
14 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$904.30 |
| 90686 |
|
20 |
20 |
$306.66 |
| 81003 |
|
117 |
74 |
$220.55 |
| 90715 |
|
23 |
17 |
$172.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
13 |
$171.60 |