| Code | Description | Claims | Beneficiaries | Total Paid |
| 76818 |
|
12,113 |
6,114 |
$977K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12,249 |
8,038 |
$939K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,614 |
9,378 |
$612K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,878 |
3,660 |
$460K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,355 |
2,725 |
$238K |
| 76825 |
|
1,107 |
971 |
$203K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,571 |
2,433 |
$184K |
| 99215 |
Prolong outpt/office vis |
1,097 |
796 |
$70K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
824 |
709 |
$55K |
| 76827 |
|
1,096 |
954 |
$54K |
| 81002 |
|
20,507 |
13,860 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
461 |
439 |
$40K |
| 76820 |
|
1,187 |
635 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,155 |
982 |
$35K |
| 93325 |
|
1,180 |
1,019 |
$16K |
| 99205 |
Prolong outpt/office vis |
108 |
101 |
$9K |
| S8301 |
Infection control supplies, not otherwise specified |
4,362 |
3,097 |
$8K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
127 |
98 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
75 |
26 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
58 |
$3K |
| 82948 |
|
1,131 |
950 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
836 |
750 |
$0.00 |