| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,818 |
2,553 |
$347K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,392 |
3,824 |
$269K |
| 76801 |
|
781 |
730 |
$71K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,036 |
1,070 |
$56K |
| 76813 |
|
794 |
748 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,400 |
1,822 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,052 |
2,708 |
$25K |
| H1000 |
Prenatal care, at-risk assessment |
276 |
157 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,597 |
1,184 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
268 |
$8K |
| 93990 |
|
529 |
352 |
$8K |
| 59025 |
Fetal non-stress test |
334 |
236 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
142 |
136 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
43 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
76 |
63 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
31 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
76 |
42 |
$2K |
| 99242 |
|
92 |
91 |
$2K |
| 99243 |
|
21 |
19 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
792 |
625 |
$472.63 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18 |
13 |
$270.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
63 |
$162.51 |
| 81002 |
|
364 |
220 |
$121.49 |
| 99241 |
|
16 |
12 |
$60.57 |
| 1036F |
|
1,345 |
832 |
$0.00 |
| 3008F |
|
1,441 |
861 |
$0.00 |
| 3074F |
|
1,243 |
791 |
$0.00 |
| 3079F |
|
21 |
13 |
$0.00 |
| 3078F |
|
1,024 |
684 |
$0.00 |
| 1160F |
|
331 |
181 |
$0.00 |
| 1159F |
|
331 |
181 |
$0.00 |
| 76937 |
|
21 |
16 |
$0.00 |