| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
903 |
586 |
$48K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
673 |
376 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
430 |
387 |
$38K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
201 |
184 |
$23K |
| 76820 |
|
478 |
233 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
118 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
193 |
149 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
29 |
24 |
$2K |
| 76825 |
|
12 |
12 |
$1K |
| 99243 |
|
19 |
15 |
$1K |
| 76801 |
|
14 |
12 |
$1K |
| 93325 |
|
13 |
13 |
$465.66 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
77 |
$98.55 |