| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,021 |
1,047 |
$203K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,169 |
2,727 |
$192K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,204 |
1,073 |
$134K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,982 |
1,312 |
$108K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,299 |
1,160 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,093 |
1,674 |
$81K |
| 76825 |
|
974 |
496 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,099 |
902 |
$67K |
| 59025 |
Fetal non-stress test |
2,955 |
450 |
$59K |
| 76827 |
|
1,039 |
541 |
$42K |
| 93325 |
|
1,074 |
531 |
$41K |
| 76813 |
|
666 |
322 |
$34K |
| 99242 |
|
395 |
327 |
$25K |
| 76801 |
|
384 |
200 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
129 |
$10K |
| 99241 |
|
152 |
122 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
154 |
82 |
$6K |
| 76818 |
|
128 |
49 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
114 |
28 |
$5K |
| 76820 |
|
272 |
75 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
99 |
82 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
67 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
20 |
15 |
$3K |
| 76821 |
|
69 |
26 |
$2K |
| 76830 |
Ultrasound, transvaginal |
53 |
47 |
$2K |
| 99243 |
|
13 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
35 |
14 |
$1K |
| 90686 |
|
13 |
13 |
$227.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$156.48 |