| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,540 |
1,932 |
$273K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,483 |
1,955 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,017 |
3,089 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,651 |
3,753 |
$168K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
245 |
228 |
$130K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,193 |
1,267 |
$129K |
| 59430 |
|
950 |
878 |
$80K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
532 |
485 |
$49K |
| 99000 |
|
2,807 |
2,529 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
167 |
$13K |
| 81003 |
|
6,771 |
3,983 |
$11K |
| 99205 |
Prolong outpt/office vis |
77 |
73 |
$7K |
| 76820 |
|
200 |
82 |
$6K |
| 81025 |
|
843 |
794 |
$6K |
| 76801 |
|
54 |
53 |
$5K |
| 99215 |
Prolong outpt/office vis |
45 |
42 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
168 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$698.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
37 |
$513.82 |