| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,364 |
3,713 |
$184K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
585 |
530 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
483 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
195 |
186 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
151 |
135 |
$9K |
| 76830 |
Ultrasound, transvaginal |
70 |
69 |
$4K |
| 59025 |
Fetal non-stress test |
144 |
77 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
62 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
75 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
50 |
$830.49 |
| H1000 |
Prenatal care, at-risk assessment |
75 |
66 |
$772.21 |