| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,797 |
1,482 |
$93K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
608 |
587 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
269 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
155 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
130 |
127 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
62 |
$6K |
| 0503F |
|
20 |
15 |
$1K |
| 90686 |
|
40 |
30 |
$742.32 |
| 59025 |
Fetal non-stress test |
48 |
25 |
$528.20 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
79 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$0.00 |