| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,836 |
2,433 |
$188K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,008 |
894 |
$69K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
797 |
297 |
$57K |
| 76830 |
Ultrasound, transvaginal |
691 |
678 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
672 |
668 |
$43K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
1,272 |
1,236 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208 |
200 |
$13K |
| 76813 |
|
82 |
80 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
56 |
55 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
54 |
54 |
$4K |
| 59430 |
|
30 |
29 |
$2K |
| 81025 |
|
357 |
342 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
73 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
56 |
54 |
$694.60 |