| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
606 |
544 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
340 |
243 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
69 |
$7K |
| 81025 |
|
894 |
798 |
$7K |
| 76830 |
Ultrasound, transvaginal |
69 |
63 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
69 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
29 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
970 |
819 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
32 |
$3K |
| 59025 |
Fetal non-stress test |
25 |
12 |
$1K |
| 76857 |
|
19 |
14 |
$927.63 |
| 99000 |
|
83 |
76 |
$10.06 |