| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
3,009 |
634 |
$91K |
| 59425 |
|
896 |
286 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
302 |
203 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,114 |
495 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
275 |
131 |
$17K |
| 76818 |
|
740 |
174 |
$16K |
| 76820 |
|
275 |
131 |
$9K |
| 59514 |
|
35 |
13 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
25 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
19 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
190 |
64 |
$802.27 |
| 36415 |
Collection of venous blood by venipuncture |
728 |
270 |
$480.60 |
| 99024 |
|
233 |
158 |
$0.00 |