| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
585 |
529 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
75 |
73 |
$7K |
| 76830 |
Ultrasound, transvaginal |
70 |
70 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
42 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$105.30 |
| 96160 |
|
12 |
12 |
$52.25 |