| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,297 |
1,580 |
$224K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
236 |
217 |
$46K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
508 |
389 |
$45K |
| 59430 |
|
61 |
60 |
$16K |
| 59025 |
Fetal non-stress test |
110 |
66 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
43 |
$12K |
| 80306 |
|
103 |
80 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
171 |
166 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$2K |
| 82950 |
|
96 |
95 |
$2K |