| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,333 |
2,010 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
283 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$2K |
| 86334 |
|
109 |
100 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
36 |
34 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
38 |
31 |
$1K |
| 88304 |
|
63 |
62 |
$1K |
| 84165 |
|
166 |
154 |
$989.75 |
| 83020 |
|
71 |
71 |
$803.04 |