| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
312 |
221 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
411 |
364 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
491 |
266 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
265 |
224 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
311 |
220 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
103 |
83 |
$3K |
| 76820 |
|
24 |
14 |
$361.48 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
34 |
$197.86 |