| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,167 |
1,157 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,928 |
2,508 |
$135K |
| 93976 |
|
1,916 |
1,470 |
$134K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,840 |
2,674 |
$130K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,690 |
2,355 |
$124K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,049 |
1,308 |
$108K |
| 76830 |
Ultrasound, transvaginal |
1,788 |
1,773 |
$67K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,745 |
1,246 |
$60K |
| 76820 |
|
1,498 |
978 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
671 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,201 |
1,034 |
$43K |
| 76821 |
|
816 |
421 |
$38K |
| 59410 |
|
13 |
13 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
222 |
219 |
$9K |
| 76801 |
|
145 |
143 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
463 |
447 |
$7K |
| 99242 |
|
91 |
89 |
$7K |
| 99243 |
|
70 |
69 |
$6K |
| 59025 |
Fetal non-stress test |
276 |
172 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
165 |
165 |
$5K |
| 76818 |
|
35 |
29 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
72 |
$1K |
| 76827 |
|
31 |
31 |
$1K |
| 81025 |
|
134 |
130 |
$708.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$644.00 |
| 76825 |
|
30 |
30 |
$564.20 |
| 87210 |
|
59 |
39 |
$470.56 |
| 93325 |
|
14 |
14 |
$45.53 |
| 90715 |
|
25 |
24 |
$0.00 |
| 3078F |
|
272 |
230 |
$0.00 |
| 3079F |
|
90 |
83 |
$0.00 |
| 3074F |
|
298 |
249 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
687 |
664 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |