| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,458 |
4,921 |
$288K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,700 |
3,621 |
$216K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,392 |
5,265 |
$197K |
| 99205 |
Prolong outpt/office vis |
2,103 |
1,917 |
$156K |
| 99215 |
Prolong outpt/office vis |
2,558 |
2,363 |
$152K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,851 |
6,339 |
$124K |
| 76813 |
|
1,648 |
1,621 |
$61K |
| 76801 |
|
1,662 |
1,632 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,033 |
881 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
565 |
408 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
180 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
450 |
445 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
413 |
363 |
$11K |
| 76820 |
|
443 |
247 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
79 |
$5K |
| 81002 |
|
1,592 |
1,379 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
24 |
$524.28 |
| A4559 |
Coupling gel or paste, for use with ultrasound device, per oz |
7,334 |
6,441 |
$268.00 |
| 99070 |
|
12,162 |
10,839 |
$72.50 |
| 99071 |
|
284 |
269 |
$0.00 |