| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
51 |
46 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
46 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
54 |
$990.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
151 |
62 |
$703.20 |
| 90656 |
|
14 |
13 |
$269.74 |
| 90686 |
|
12 |
12 |
$177.84 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
19 |
14 |
$52.00 |