| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,096 |
4,823 |
$477K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,894 |
2,556 |
$313K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,246 |
3,639 |
$265K |
| Z1034 |
|
4,176 |
2,797 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,935 |
1,600 |
$219K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,453 |
2,452 |
$158K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,367 |
1,926 |
$149K |
| 76813 |
|
1,478 |
1,371 |
$124K |
| 99245 |
|
1,321 |
1,321 |
$123K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,143 |
1,112 |
$110K |
| 59025 |
Fetal non-stress test |
4,114 |
1,692 |
$63K |
| 76801 |
|
1,017 |
1,015 |
$63K |
| Z1032 |
|
401 |
401 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
790 |
656 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,107 |
1,057 |
$36K |
| 99000 |
|
6,585 |
5,073 |
$25K |
| 81002 |
|
3,075 |
2,015 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
64 |
$19K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
219 |
219 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
138 |
$14K |
| 99215 |
Prolong outpt/office vis |
342 |
259 |
$10K |
| J3490 |
Unclassified drugs |
82 |
55 |
$7K |
| 82947 |
|
1,602 |
1,119 |
$6K |
| 81025 |
|
1,086 |
1,059 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
251 |
251 |
$3K |