| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,890 |
1,403 |
$171K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,600 |
2,365 |
$91K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,002 |
897 |
$62K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,693 |
1,539 |
$53K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,431 |
1,113 |
$43K |
| 76801 |
|
609 |
589 |
$25K |
| 59025 |
Fetal non-stress test |
1,967 |
1,353 |
$17K |
| 76820 |
|
390 |
271 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
225 |
$15K |
| 76813 |
|
346 |
340 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
200 |
182 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
52 |
$7K |
| 76818 |
|
47 |
39 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$1K |