| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
214 |
154 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
277 |
$16K |
| 76830 |
Ultrasound, transvaginal |
158 |
141 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
129 |
111 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
29 |
28 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
154 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
172 |
142 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
30 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 81025 |
|
251 |
228 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$1K |
| 76820 |
|
49 |
34 |
$922.65 |
| 36415 |
Collection of venous blood by venipuncture |
462 |
390 |
$792.08 |
| 87210 |
|
28 |
26 |
$104.73 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
66 |
61 |
$28.56 |