| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,252 |
3,729 |
$321K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,813 |
1,607 |
$142K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,483 |
3,992 |
$136K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,279 |
2,012 |
$111K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,421 |
2,504 |
$106K |
| 59025 |
Fetal non-stress test |
6,774 |
3,859 |
$58K |
| 99243 |
|
403 |
344 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
791 |
614 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
25 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
41 |
$1K |
| 76820 |
|
17 |
13 |
$684.42 |