| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,194 |
8,590 |
$407K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,508 |
5,665 |
$366K |
| 76820 |
|
7,838 |
6,074 |
$336K |
| 93976 |
|
1,518 |
1,490 |
$150K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,117 |
3,014 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,838 |
1,645 |
$99K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,068 |
1,045 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,013 |
1,790 |
$69K |
| 76821 |
|
1,313 |
903 |
$58K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
71 |
53 |
$31K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
262 |
256 |
$26K |
| 59025 |
Fetal non-stress test |
1,201 |
570 |
$18K |
| 76813 |
|
141 |
137 |
$10K |
| 76818 |
|
144 |
117 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
64 |
$6K |
| 76801 |
|
72 |
71 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
40 |
24 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
50 |
24 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
26 |
$911.75 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$811.89 |
| 90686 |
|
51 |
49 |
$803.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
53 |
$781.83 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
22 |
15 |
$571.88 |
| 81002 |
|
203 |
178 |
$298.50 |