| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,083 |
3,927 |
$316K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,737 |
1,959 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,807 |
2,714 |
$176K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,921 |
1,560 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,335 |
1,005 |
$83K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,523 |
1,185 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,959 |
1,420 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
478 |
422 |
$27K |
| 76820 |
|
763 |
337 |
$18K |
| 99215 |
Prolong outpt/office vis |
78 |
68 |
$8K |
| 96040 |
|
127 |
103 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
73 |
$3K |
| 82962 |
|
1,128 |
665 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$2K |
| 76821 |
|
19 |
12 |
$1K |
| 81003 |
|
1,052 |
557 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
41 |
$1K |
| 99354 |
|
29 |
25 |
$720.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
12 |
$462.99 |
| 36416 |
|
39 |
25 |
$78.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
26 |
$0.00 |
| 90686 |
|
16 |
14 |
$0.00 |
| 99201 |
|
20 |
19 |
$0.00 |