| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,355 |
1,456 |
$105K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
285 |
238 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
595 |
496 |
$19K |
| 99215 |
Prolong outpt/office vis |
161 |
138 |
$11K |
| 81000 |
|
3,095 |
1,743 |
$10K |
| 59430 |
|
101 |
94 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
29 |
$3K |
| 99235 |
|
22 |
12 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
13 |
$874.81 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
54 |
53 |
$47.46 |
| 36415 |
Collection of venous blood by venipuncture |
480 |
430 |
$0.00 |
| 82950 |
|
17 |
17 |
$0.00 |