| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
221 |
192 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
255 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,032 |
1,789 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
55 |
38 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
38 |
$5K |
| 90686 |
|
70 |
69 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
130 |
$696.89 |
| 85018 |
|
320 |
314 |
$667.57 |
| 82962 |
|
142 |
138 |
$420.46 |
| 0502F |
|
16 |
13 |
$0.03 |
| 99000 |
|
35 |
29 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
12 |
12 |
$0.00 |