| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
107 |
106 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
129 |
$7K |
| 81025 |
|
269 |
254 |
$2K |
| 76830 |
Ultrasound, transvaginal |
15 |
14 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
16 |
$999.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$622.17 |
| 81003 |
|
93 |
87 |
$224.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$123.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$119.58 |
| 85018 |
|
15 |
14 |
$36.56 |
| 3078F |
|
107 |
100 |
$0.00 |
| 1160F |
|
70 |
64 |
$0.00 |
| 0502F |
|
16 |
12 |
$0.00 |
| 3008F |
|
147 |
138 |
$0.00 |
| 3074F |
|
103 |
96 |
$0.00 |