| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,692 |
1,234 |
$123K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,637 |
2,169 |
$79K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
799 |
677 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
875 |
413 |
$38K |
| 99243 |
|
187 |
168 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
612 |
538 |
$17K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
114 |
112 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
752 |
358 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
250 |
248 |
$8K |
| 99242 |
|
41 |
28 |
$3K |
| 76801 |
|
81 |
81 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
27 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
15 |
$709.05 |