| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,161 |
3,756 |
$228K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,654 |
3,133 |
$226K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,915 |
2,498 |
$218K |
| 99242 |
|
1,925 |
1,667 |
$127K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,034 |
807 |
$46K |
| 76820 |
|
280 |
179 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
403 |
380 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
343 |
211 |
$15K |
| 59025 |
Fetal non-stress test |
1,044 |
648 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
125 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
140 |
111 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
86 |
82 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
31 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
66 |
$2K |
| 76827 |
|
33 |
27 |
$2K |
| 76825 |
|
29 |
26 |
$1K |
| 93325 |
|
34 |
27 |
$1K |