| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,277 |
2,456 |
$380K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,603 |
2,042 |
$306K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,252 |
1,251 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,023 |
1,533 |
$214K |
| 76820 |
|
4,300 |
2,453 |
$198K |
| 76801 |
|
1,354 |
1,313 |
$170K |
| 76813 |
|
1,227 |
1,224 |
$154K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
851 |
744 |
$119K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,147 |
733 |
$92K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
368 |
299 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
214 |
214 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
109 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
126 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$7K |
| 76825 |
|
15 |
13 |
$3K |
| 96040 |
|
14 |
13 |
$907.94 |
| 36415 |
Collection of venous blood by venipuncture |
274 |
268 |
$792.82 |
| 99242 |
|
14 |
14 |
$723.84 |