| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
561 |
407 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
115 |
114 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
73 |
69 |
$4K |
| 76830 |
Ultrasound, transvaginal |
95 |
91 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$749.87 |
| 59430 |
|
12 |
12 |
$570.82 |
| 36415 |
Collection of venous blood by venipuncture |
177 |
157 |
$440.77 |