| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
398 |
386 |
$22K |
| 59025 |
Fetal non-stress test |
163 |
145 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
824 |
802 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
44 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$545.73 |
| 90674 |
|
14 |
14 |
$309.11 |