| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
158 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,161 |
1,047 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
42 |
40 |
$3K |
| 99000 |
|
733 |
647 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$859.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$482.49 |
| 81000 |
|
44 |
32 |
$175.72 |
| 0502F |
|
96 |
51 |
$0.00 |