| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,262 |
1,892 |
$71K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,139 |
1,273 |
$51K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
664 |
648 |
$38K |
| 59025 |
Fetal non-stress test |
2,069 |
1,082 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
922 |
568 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
827 |
786 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
318 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
267 |
260 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
138 |
137 |
$4K |
| 76801 |
|
126 |
123 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$963.92 |
| 99222 |
Initial hospital care, per day, moderate complexity |
47 |
39 |
$949.41 |
| 76813 |
|
28 |
28 |
$852.44 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
32 |
30 |
$692.72 |
| 97802 |
|
14 |
14 |
$433.57 |
| 97803 |
|
13 |
13 |
$402.75 |