| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
96 |
88 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
151 |
$11K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
468 |
416 |
$1K |
| 99401 |
|
16 |
15 |
$369.92 |
| 81025 |
|
12 |
12 |
$99.33 |
| 81002 |
|
13 |
12 |
$43.92 |