| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,078 |
1,989 |
$136K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,119 |
826 |
$133K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
962 |
869 |
$79K |
| 59430 |
|
214 |
203 |
$19K |
| 76820 |
|
345 |
126 |
$12K |
| 81002 |
|
3,871 |
1,857 |
$11K |
| 99000 |
|
339 |
322 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
29 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
41 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$580.51 |