| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
860 |
606 |
$83K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
689 |
611 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127 |
93 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
279 |
255 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
144 |
80 |
$2K |