| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,114 |
5,246 |
$272K |
| 76830 |
Ultrasound, transvaginal |
2,534 |
2,464 |
$177K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,646 |
2,574 |
$164K |
| 93976 |
|
1,876 |
1,826 |
$135K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,488 |
942 |
$93K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,903 |
1,186 |
$52K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
816 |
429 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
642 |
610 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
511 |
509 |
$21K |
| 76820 |
|
807 |
425 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
421 |
417 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
223 |
$9K |
| 81025 |
|
2,307 |
1,851 |
$7K |
| 99385 |
|
114 |
113 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
109 |
$5K |
| 76801 |
|
97 |
88 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$2K |
| 81002 |
|
887 |
831 |
$883.20 |
| 76813 |
|
26 |
26 |
$867.80 |
| 99386 |
|
13 |
13 |
$545.87 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$257.92 |