| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,492 |
1,255 |
$184K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
989 |
802 |
$122K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
908 |
529 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
520 |
432 |
$42K |
| 76820 |
|
665 |
386 |
$34K |
| 76830 |
Ultrasound, transvaginal |
260 |
229 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
209 |
186 |
$22K |
| 76801 |
|
174 |
148 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
95 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,919 |
1,675 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
52 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
24 |
$3K |
| 76376 |
|
92 |
79 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
15 |
$2K |
| 59025 |
Fetal non-stress test |
20 |
14 |
$656.77 |
| 81025 |
|
60 |
51 |
$44.43 |
| 99024 |
|
165 |
155 |
$0.00 |