| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
1,858 |
1,081 |
$416K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,285 |
2,009 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,175 |
2,572 |
$122K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
888 |
812 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
445 |
395 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
431 |
388 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,064 |
930 |
$27K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
17 |
13 |
$25K |
| 59426 |
|
36 |
34 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
171 |
77 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
72 |
$8K |
| 59425 |
|
37 |
35 |
$8K |
| 81025 |
|
1,692 |
1,432 |
$7K |
| 76801 |
|
89 |
81 |
$6K |
| 59025 |
Fetal non-stress test |
126 |
65 |
$4K |
| 99385 |
|
36 |
33 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
37 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
57 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
39 |
$599.43 |
| 87210 |
|
176 |
164 |
$524.80 |
| 0501F |
|
88 |
83 |
$180.00 |
| 0503F |
|
18 |
17 |
$90.00 |