| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,134 |
734 |
$95K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
733 |
623 |
$67K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
306 |
151 |
$22K |
| 76827 |
|
331 |
298 |
$20K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
46 |
44 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
85 |
70 |
$7K |
| 93325 |
|
290 |
269 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
39 |
$5K |
| 76825 |
|
18 |
14 |
$3K |