| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
14 |
14 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
364 |
273 |
$913.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$721.43 |
| 87150 |
|
12 |
12 |
$473.83 |
| 82950 |
|
32 |
30 |
$161.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$99.76 |
| 85018 |
|
13 |
13 |
$35.61 |