| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,197 |
23,817 |
$2.03M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
21,855 |
14,640 |
$1.71M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
22,199 |
18,288 |
$1.26M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,876 |
5,651 |
$1.08M |
| 76820 |
|
13,314 |
8,224 |
$944K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
9,161 |
7,940 |
$620K |
| 76821 |
|
5,420 |
3,219 |
$428K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,412 |
7,083 |
$374K |
| 76818 |
|
3,405 |
1,882 |
$273K |
| 76825 |
|
2,238 |
2,087 |
$273K |
| 99215 |
Prolong outpt/office vis |
2,666 |
2,199 |
$259K |
| 93325 |
|
2,127 |
1,985 |
$189K |
| 76827 |
|
2,258 |
2,096 |
$186K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
751 |
734 |
$105K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
884 |
854 |
$83K |
| 99243 |
|
424 |
421 |
$40K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
634 |
501 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
281 |
272 |
$36K |
| 92586 |
|
430 |
428 |
$30K |
| 99205 |
Prolong outpt/office vis |
249 |
215 |
$25K |
| 59025 |
Fetal non-stress test |
853 |
427 |
$17K |
| 76801 |
|
132 |
127 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
92 |
$9K |
| 99242 |
|
93 |
93 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
100 |
66 |
$6K |
| 99245 |
|
30 |
30 |
$5K |
| 90715 |
|
102 |
89 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
47 |
$2K |
| 99221 |
|
16 |
15 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
30 |
13 |
$1K |