| Code | Description | Claims | Beneficiaries | Total Paid |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14,878 |
10,467 |
$946K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,846 |
4,540 |
$725K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
7,443 |
6,487 |
$581K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,732 |
5,851 |
$370K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,615 |
2,476 |
$222K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,796 |
2,966 |
$220K |
| 99233 |
Prolong inpt eval add15 m |
1,744 |
730 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,679 |
1,455 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,614 |
1,986 |
$62K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,044 |
822 |
$61K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,345 |
2,968 |
$51K |
| 76825 |
|
478 |
379 |
$46K |
| 76820 |
|
1,192 |
669 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
751 |
706 |
$41K |
| 76821 |
|
424 |
276 |
$21K |
| 76827 |
|
339 |
254 |
$16K |
| 76818 |
|
639 |
227 |
$15K |
| 99215 |
Prolong outpt/office vis |
202 |
186 |
$14K |
| 93325 |
|
465 |
425 |
$13K |
| 76810 |
|
123 |
96 |
$10K |
| 59025 |
Fetal non-stress test |
402 |
176 |
$4K |
| J3490 |
Unclassified drugs |
61 |
12 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 76828 |
|
21 |
12 |
$653.58 |
| 99406 |
|
88 |
68 |
$269.28 |