| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
712 |
$58K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,423 |
1,268 |
$58K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
725 |
679 |
$45K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
925 |
820 |
$24K |
| 99215 |
Prolong outpt/office vis |
152 |
134 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
111 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
40 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
56 |
53 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |