| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,408 |
5,715 |
$309K |
| 76830 |
Ultrasound, transvaginal |
2,951 |
2,881 |
$256K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,220 |
2,080 |
$239K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,990 |
2,922 |
$231K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,193 |
2,041 |
$197K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,689 |
1,701 |
$157K |
| 93976 |
|
1,917 |
1,882 |
$107K |
| 76820 |
|
2,731 |
1,714 |
$86K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
682 |
680 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
747 |
610 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
416 |
412 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
498 |
496 |
$31K |
| 99385 |
|
153 |
153 |
$15K |
| 81025 |
|
4,766 |
3,950 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
134 |
121 |
$13K |
| 59514 |
|
25 |
25 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$6K |
| 76801 |
|
82 |
60 |
$6K |
| 81002 |
|
2,856 |
2,462 |
$3K |
| 59025 |
Fetal non-stress test |
190 |
159 |
$3K |
| 58558 |
|
13 |
13 |
$494.34 |
| 0502F |
|
23 |
22 |
$0.00 |