| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,573 |
2,925 |
$287K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,897 |
2,107 |
$157K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,753 |
1,624 |
$122K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,552 |
2,325 |
$111K |
| 76820 |
|
1,157 |
659 |
$58K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
275 |
235 |
$39K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
949 |
658 |
$36K |
| 76818 |
|
852 |
605 |
$35K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,161 |
917 |
$35K |
| 99243 |
|
326 |
288 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
562 |
443 |
$21K |
| 59025 |
Fetal non-stress test |
1,667 |
927 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
172 |
55 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
34 |
25 |
$2K |