| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,256 |
1,975 |
$337K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,787 |
2,404 |
$302K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,546 |
2,013 |
$275K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,450 |
3,130 |
$170K |
| 76820 |
|
778 |
441 |
$45K |
| 76818 |
|
187 |
103 |
$24K |
| 76821 |
|
194 |
97 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
263 |
$17K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
66 |
65 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
301 |
231 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
62 |
54 |
$5K |
| 76801 |
|
17 |
15 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
63 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$1K |