| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
831 |
773 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
416 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
153 |
125 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,417 |
2,216 |
$6K |
| 76820 |
|
151 |
99 |
$6K |
| 76818 |
|
84 |
62 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
67 |
49 |
$5K |
| 59025 |
Fetal non-stress test |
74 |
53 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
151 |
144 |
$1K |
| 81025 |
|
12 |
12 |
$92.78 |
| 96127 |
|
14 |
12 |
$61.04 |
| 81002 |
|
13 |
13 |
$36.39 |