| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
97 |
82 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152 |
75 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40 |
29 |
$3K |
| 76820 |
|
42 |
25 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48 |
38 |
$577.96 |
| 87660 |
|
14 |
13 |
$293.12 |
| 87510 |
|
14 |
13 |
$291.68 |
| 87480 |
|
14 |
13 |
$291.68 |
| 36415 |
Collection of venous blood by venipuncture |
97 |
83 |
$244.11 |