| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,782 |
2,672 |
$176K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
995 |
940 |
$91K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,305 |
1,130 |
$72K |
| 59025 |
Fetal non-stress test |
2,320 |
1,594 |
$58K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
544 |
513 |
$35K |
| 76818 |
|
533 |
408 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
451 |
415 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
595 |
521 |
$30K |
| 76820 |
|
311 |
246 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
324 |
175 |
$13K |
| 76801 |
|
125 |
122 |
$8K |
| 99215 |
Prolong outpt/office vis |
105 |
101 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
138 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
52 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
47 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
53 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
20 |
18 |
$925.60 |
| 96040 |
|
13 |
13 |
$522.60 |
| 81002 |
|
185 |
171 |
$469.41 |