| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,356 |
866 |
$99K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,051 |
1,817 |
$60K |
| 99215 |
Prolong outpt/office vis |
614 |
562 |
$45K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
616 |
576 |
$34K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
610 |
556 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
508 |
277 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
226 |
197 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
51 |
$3K |
| 76801 |
|
24 |
24 |
$748.59 |