| Code | Description | Claims | Beneficiaries | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,231 |
6,532 |
$624K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,638 |
3,001 |
$466K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,266 |
3,483 |
$409K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,008 |
2,212 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,899 |
3,056 |
$172K |
| 76820 |
|
3,893 |
1,861 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,788 |
1,378 |
$116K |
| 76825 |
|
708 |
443 |
$72K |
| 76813 |
|
927 |
769 |
$70K |
| 76801 |
|
547 |
443 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
647 |
583 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,633 |
1,166 |
$43K |
| 76827 |
|
706 |
442 |
$24K |
| 99242 |
|
408 |
331 |
$23K |
| 99215 |
Prolong outpt/office vis |
225 |
193 |
$18K |
| 93325 |
|
692 |
443 |
$18K |
| 99401 |
|
704 |
459 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
200 |
161 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
67 |
$8K |
| 76821 |
|
171 |
53 |
$8K |
| 99243 |
|
51 |
44 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
778 |
628 |
$2K |
| 99241 |
|
53 |
41 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
28 |
$623.46 |