| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,237 |
895 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
231 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
73 |
69 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
25 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$910.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
28 |
$195.16 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
26 |
$0.00 |