| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,083 |
775 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,073 |
877 |
$73K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
422 |
364 |
$62K |
| 76820 |
|
1,241 |
876 |
$48K |
| 76825 |
|
350 |
307 |
$40K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
518 |
426 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,182 |
1,060 |
$34K |
| 93325 |
|
618 |
566 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
128 |
125 |
$16K |
| 76826 |
|
94 |
93 |
$7K |
| 76801 |
|
61 |
59 |
$7K |
| 76813 |
|
56 |
56 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
77 |
$3K |
| 76828 |
|
39 |
38 |
$2K |
| 76827 |
|
33 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
65 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$690.36 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$518.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
64 |
$182.79 |
| 85027 |
|
28 |
25 |
$164.35 |
| 81001 |
|
28 |
27 |
$79.36 |
| 36415 |
Collection of venous blood by venipuncture |
210 |
162 |
$5.40 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
14 |
$0.00 |