| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 81002 |
|
4,449 |
2,679 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,291 |
2,539 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
81 |
69 |
$935.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
54 |
50 |
$434.67 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
75 |
$130.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
187 |
160 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
18 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$0.00 |