| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,325 |
1,115 |
$62K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
903 |
783 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
520 |
475 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
471 |
433 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
174 |
174 |
$11K |
| 76818 |
|
290 |
203 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
97 |
$5K |
| 76813 |
|
13 |
13 |
$652.05 |
| 36415 |
Collection of venous blood by venipuncture |
244 |
231 |
$339.84 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$336.63 |