| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,830 |
9,821 |
$924K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
8,028 |
7,354 |
$636K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,365 |
4,292 |
$553K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
7,583 |
6,799 |
$549K |
| 76818 |
|
5,446 |
2,524 |
$529K |
| 76820 |
|
13,461 |
8,545 |
$474K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,545 |
1,542 |
$244K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,113 |
2,113 |
$191K |
| 76813 |
|
1,539 |
1,536 |
$162K |
| 99403 |
|
3,022 |
2,240 |
$157K |
| 76801 |
|
1,479 |
1,456 |
$155K |
| 99402 |
|
3,814 |
2,932 |
$153K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,239 |
1,055 |
$96K |
| 76830 |
Ultrasound, transvaginal |
942 |
941 |
$68K |
| 99401 |
|
2,792 |
2,420 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,652 |
1,202 |
$64K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
510 |
501 |
$61K |
| 76821 |
|
848 |
517 |
$59K |
| 93975 |
|
341 |
341 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
459 |
381 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
234 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
583 |
582 |
$33K |
| 59000 |
|
24 |
24 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$2K |
| 76377 |
|
12 |
12 |
$569.52 |
| 76946 |
|
24 |
24 |
$547.20 |
| 36415 |
Collection of venous blood by venipuncture |
3,081 |
2,954 |
$335.31 |