| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,116 |
1,749 |
$108K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,968 |
1,741 |
$69K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
573 |
563 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
647 |
542 |
$20K |
| 59025 |
Fetal non-stress test |
262 |
170 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
118 |
115 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$971.65 |
| 76818 |
|
12 |
12 |
$469.11 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$367.27 |