| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
471 |
434 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
119 |
102 |
$11K |
| 59025 |
Fetal non-stress test |
192 |
145 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,539 |
978 |
$2K |
| 99218 |
|
29 |
25 |
$2K |
| 99221 |
|
13 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$897.96 |
| 81025 |
|
94 |
91 |
$695.60 |
| 81003 |
|
218 |
192 |
$455.18 |
| 0500F |
|
13 |
12 |
$96.58 |