| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,091 |
1,014 |
$78K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
508 |
478 |
$50K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
14 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
361 |
339 |
$28K |
| 99195 |
|
142 |
142 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
67 |
62 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$3K |
| 76820 |
|
43 |
37 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$1K |
| 87510 |
|
38 |
38 |
$517.83 |
| 87480 |
|
38 |
38 |
$517.83 |
| 87660 |
|
37 |
37 |
$503.88 |
| 87110 |
|
12 |
12 |
$102.06 |
| 87081 |
|
12 |
12 |
$58.95 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
47 |
$0.00 |