| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
227 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
169 |
109 |
$11K |
| 59426 |
|
78 |
44 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
37 |
12 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
12 |
$2K |
| 76820 |
|
38 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
132 |
118 |
$262.82 |
| 81025 |
|
40 |
40 |
$245.89 |
| 81002 |
|
53 |
52 |
$127.56 |