| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,064 |
3,892 |
$773K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
7,109 |
2,651 |
$546K |
| 59425 |
|
6,027 |
4,054 |
$487K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,935 |
6,212 |
$442K |
| 76813 |
|
2,264 |
2,118 |
$281K |
| 59025 |
Fetal non-stress test |
8,648 |
2,703 |
$242K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,134 |
1,097 |
$119K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
789 |
780 |
$84K |
| 99243 |
|
711 |
709 |
$57K |
| Z1034 |
|
944 |
628 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
454 |
454 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
585 |
582 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
651 |
649 |
$39K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,490 |
1,478 |
$20K |
| Z1032 |
|
174 |
174 |
$20K |
| 76801 |
|
233 |
208 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
458 |
446 |
$16K |
| G9920 |
Screening performed and negative |
887 |
881 |
$14K |
| 3351F |
|
197 |
197 |
$6K |
| 99205 |
Prolong outpt/office vis |
30 |
29 |
$3K |
| 76820 |
|
24 |
12 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
19 |
$356.40 |
| H0049 |
Alcohol and/or drug screening |
32 |
29 |
$0.00 |
| 1036F |
|
46 |
43 |
$0.00 |