| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
675 |
$38K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
217 |
167 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
87 |
80 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
98 |
$6K |
| 76830 |
Ultrasound, transvaginal |
98 |
96 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
58 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
234 |
231 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
405 |
375 |
$1K |
| 85018 |
|
211 |
201 |
$668.87 |
| 82950 |
|
26 |
26 |
$162.78 |