| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,356 |
6,535 |
$292K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,036 |
861 |
$251K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,626 |
1,292 |
$150K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
358 |
300 |
$54K |
| 76830 |
Ultrasound, transvaginal |
984 |
841 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
269 |
189 |
$26K |
| 81002 |
|
15,764 |
12,352 |
$21K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
368 |
295 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
310 |
274 |
$17K |
| 76821 |
|
174 |
149 |
$10K |
| 76820 |
|
215 |
185 |
$10K |
| 81025 |
|
1,518 |
1,200 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
100 |
$5K |
| 36416 |
|
1,035 |
950 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
36 |
$2K |
| 76801 |
|
16 |
14 |
$2K |
| 99459 |
|
119 |
108 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$717.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$326.34 |
| 99401 |
|
13 |
13 |
$320.58 |
| 85018 |
|
1,058 |
974 |
$304.87 |