| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,228 |
2,482 |
$154K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,704 |
4,104 |
$135K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,139 |
1,871 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,212 |
977 |
$90K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,333 |
3,142 |
$83K |
| 99243 |
|
509 |
415 |
$48K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,903 |
1,654 |
$48K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
799 |
647 |
$25K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
102 |
97 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
522 |
405 |
$13K |
| 99245 |
|
54 |
52 |
$10K |
| 76820 |
|
198 |
123 |
$8K |
| 59025 |
Fetal non-stress test |
784 |
593 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$764.32 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
25 |
$750.41 |
| 76970 |
|
23 |
16 |
$395.53 |