| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,798 |
2,701 |
$337K |
| 93975 |
|
2,460 |
2,020 |
$309K |
| 99403 |
|
3,039 |
1,994 |
$152K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,403 |
2,034 |
$131K |
| 76830 |
Ultrasound, transvaginal |
2,457 |
2,049 |
$131K |
| 76770 |
|
1,569 |
1,175 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,148 |
897 |
$86K |
| 99407 |
|
1,784 |
1,284 |
$32K |
| 81025 |
|
2,964 |
2,101 |
$14K |
| 99402 |
|
404 |
312 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
82 |
64 |
$10K |
| 96127 |
|
568 |
509 |
$8K |
| 87210 |
|
2,511 |
1,768 |
$8K |
| 83986 |
|
2,536 |
1,766 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
17 |
$996.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12 |
12 |
$772.08 |
| 76820 |
|
15 |
13 |
$766.95 |
| 99459 |
|
18 |
16 |
$237.49 |
| 81002 |
|
3,977 |
2,778 |
$225.99 |