| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
142 |
130 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
94 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
190 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
164 |
$5K |
| 76801 |
|
17 |
16 |
$1K |
| 59430 |
|
12 |
12 |
$582.28 |
| 99000 |
|
30 |
24 |
$296.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
31 |
$47.63 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
25 |
$7.00 |