| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
940 |
$58K |
| 76830 |
Ultrasound, transvaginal |
392 |
365 |
$45K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
16 |
12 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
157 |
139 |
$16K |
| 59025 |
Fetal non-stress test |
335 |
114 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
66 |
$9K |
| 81025 |
|
747 |
672 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,010 |
803 |
$2K |
| 54150 |
|
14 |
12 |
$1K |
| 87210 |
|
196 |
170 |
$790.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$563.78 |
| 85018 |
|
227 |
185 |
$290.87 |
| 90688 |
|
18 |
15 |
$277.74 |
| 81002 |
|
47 |
42 |
$120.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
15 |
$32.60 |