| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,761 |
2,521 |
$434K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,874 |
1,508 |
$165K |
| 76830 |
Ultrasound, transvaginal |
1,171 |
958 |
$126K |
| 99215 |
Prolong outpt/office vis |
580 |
535 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
315 |
182 |
$29K |
| 99205 |
Prolong outpt/office vis |
43 |
42 |
$9K |
| 76770 |
|
52 |
49 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
117 |
91 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
45 |
37 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
50 |
26 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
21 |
15 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
27 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
34 |
$2K |
| 81000 |
|
136 |
83 |
$419.98 |