| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,924 |
3,762 |
$395K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,551 |
7,284 |
$393K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,098 |
3,041 |
$317K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,545 |
1,437 |
$114K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
593 |
583 |
$76K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
87 |
84 |
$47K |
| 81002 |
|
15,973 |
8,474 |
$44K |
| 59430 |
|
349 |
287 |
$22K |
| 76801 |
|
189 |
168 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
120 |
$6K |
| 59025 |
Fetal non-stress test |
120 |
91 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
12 |
$1K |
| 76813 |
|
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
20 |
14 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$964.09 |
| 0503F |
|
127 |
109 |
$0.00 |