| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,969 |
2,180 |
$242K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,002 |
444 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,289 |
735 |
$53K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
655 |
415 |
$39K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
179 |
164 |
$15K |
| 59430 |
|
59 |
56 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$4K |
| 76801 |
|
51 |
38 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
23 |
17 |
$1K |
| 0501F |
|
21 |
13 |
$0.00 |