| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
501 |
418 |
$49K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
155 |
133 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
30 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
40 |
40 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
67 |
65 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$2K |
| 82950 |
|
26 |
26 |
$585.00 |