| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,092 |
903 |
$99K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,630 |
2,431 |
$97K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,349 |
1,191 |
$91K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,044 |
1,859 |
$68K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,322 |
1,037 |
$41K |
| 76801 |
|
813 |
785 |
$37K |
| 76813 |
|
573 |
551 |
$26K |
| 59025 |
Fetal non-stress test |
2,167 |
1,450 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
574 |
507 |
$24K |
| 76820 |
|
447 |
330 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217 |
195 |
$11K |
| 76825 |
|
76 |
68 |
$4K |
| 99215 |
Prolong outpt/office vis |
37 |
31 |
$2K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 76827 |
|
73 |
66 |
$2K |
| 93325 |
|
73 |
67 |
$1K |
| 76818 |
|
17 |
13 |
$598.86 |