| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
876 |
804 |
$45K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
178 |
166 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
74 |
69 |
$10K |
| 99215 |
Prolong outpt/office vis |
91 |
81 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
105 |
$8K |
| 59025 |
Fetal non-stress test |
74 |
55 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,005 |
933 |
$2K |
| 76801 |
|
21 |
18 |
$2K |
| 87210 |
|
268 |
254 |
$891.17 |
| 81001 |
|
167 |
158 |
$414.68 |
| 0500F |
|
26 |
15 |
$29.25 |