| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,557 |
1,321 |
$113K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,716 |
2,355 |
$85K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,958 |
1,467 |
$64K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,328 |
1,131 |
$60K |
| 59025 |
Fetal non-stress test |
3,521 |
2,233 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
613 |
$32K |
| 99215 |
Prolong outpt/office vis |
476 |
363 |
$29K |
| 99243 |
|
198 |
157 |
$19K |
| 99205 |
Prolong outpt/office vis |
178 |
157 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
110 |
$9K |
| 99242 |
|
44 |
26 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
67 |
54 |
$2K |