| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,637 |
2,486 |
$158K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,677 |
3,386 |
$128K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,663 |
1,617 |
$122K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,843 |
2,514 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
742 |
739 |
$64K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
948 |
930 |
$37K |
| 76813 |
|
769 |
756 |
$36K |
| 76801 |
|
777 |
757 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
745 |
688 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
153 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
133 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
93 |
81 |
$3K |
| 76820 |
|
68 |
52 |
$1K |