| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81002 |
|
4,454 |
3,491 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
39 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
66 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
52 |
49 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
54 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
84 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
20 |
13 |
$1K |
| 76801 |
|
15 |
12 |
$970.39 |
| 59025 |
Fetal non-stress test |
56 |
39 |
$813.66 |
| 90661 |
|
41 |
41 |
$767.52 |
| 36415 |
Collection of venous blood by venipuncture |
341 |
314 |
$57.00 |
| 99000 |
|
1,327 |
1,192 |
$9.90 |
| 0502F |
|
645 |
497 |
$0.00 |
| 0501F |
|
16 |
16 |
$0.00 |