| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
493 |
417 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
354 |
300 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
164 |
155 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
120 |
108 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
47 |
47 |
$4K |
| 76818 |
|
34 |
29 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$148.10 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
64 |
$46.26 |
| 99072 |
|
14 |
12 |
$0.00 |