| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,425 |
1,333 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,532 |
1,201 |
$122K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,103 |
915 |
$87K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
503 |
482 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,391 |
1,114 |
$71K |
| 99243 |
|
194 |
191 |
$22K |
| 99205 |
Prolong outpt/office vis |
121 |
116 |
$21K |
| 76825 |
|
107 |
97 |
$20K |
| 76820 |
|
590 |
458 |
$19K |
| 99215 |
Prolong outpt/office vis |
118 |
96 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
231 |
148 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
200 |
121 |
$13K |
| 99442 |
|
357 |
285 |
$8K |
| 99245 |
|
26 |
26 |
$5K |
| 76827 |
|
93 |
82 |
$5K |
| 81003 |
|
1,786 |
1,461 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
52 |
$3K |
| 76821 |
|
25 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$1K |
| 76801 |
|
14 |
12 |
$955.16 |
| 82962 |
|
112 |
91 |
$236.75 |
| 99441 |
|
12 |
12 |
$140.42 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$39.16 |
| 81001 |
|
15 |
14 |
$19.73 |
| 3078F |
|
376 |
297 |
$0.02 |
| 3074F |
|
409 |
313 |
$0.00 |