| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
552 |
391 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
145 |
137 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
79 |
79 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
103 |
$3K |
| 76801 |
|
28 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
25 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
27 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
95 |
81 |
$645.35 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$575.64 |
| 98926 |
|
12 |
12 |
$314.28 |
| 0502F |
|
128 |
77 |
$0.00 |
| 99459 |
|
30 |
28 |
$0.00 |
| 99000 |
|
54 |
49 |
$0.00 |