| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,086 |
2,444 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,754 |
1,508 |
$139K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,632 |
4,002 |
$135K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,395 |
3,415 |
$107K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,050 |
1,802 |
$101K |
| 99243 |
|
616 |
528 |
$58K |
| 99215 |
Prolong outpt/office vis |
656 |
572 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,801 |
1,514 |
$46K |
| 99242 |
|
322 |
221 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
746 |
494 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
419 |
338 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
80 |
77 |
$11K |
| 0502F |
|
235 |
147 |
$10K |
| 76820 |
|
211 |
103 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
173 |
169 |
$7K |
| 59025 |
Fetal non-stress test |
392 |
332 |
$3K |
| 81003 |
|
254 |
154 |
$541.25 |
| 81002 |
|
44 |
33 |
$88.92 |