| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
267 |
210 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
511 |
451 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
618 |
502 |
$14K |
| 81002 |
|
827 |
712 |
$2K |
| 81025 |
|
221 |
198 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$824.31 |
| 80305 |
|
79 |
72 |
$725.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
120 |
97 |
$720.15 |
| 0502F |
|
760 |
443 |
$0.00 |