| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,946 |
1,703 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
295 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
102 |
91 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
100 |
94 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,495 |
1,327 |
$5K |
| 59025 |
Fetal non-stress test |
194 |
63 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
57 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
59 |
$2K |
| 81002 |
|
13 |
12 |
$34.56 |