| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24,093 |
23,110 |
$2.20M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
36,318 |
19,278 |
$1.42M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
9,258 |
9,238 |
$610K |
| 99215 |
Prolong outpt/office vis |
14,377 |
10,281 |
$558K |
| 59025 |
Fetal non-stress test |
24,212 |
8,613 |
$472K |
| 76813 |
|
5,132 |
4,834 |
$427K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
10,560 |
5,862 |
$386K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,613 |
6,595 |
$338K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,047 |
7,358 |
$266K |
| 76801 |
|
3,809 |
3,806 |
$224K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,939 |
3,407 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,584 |
1,164 |
$116K |
| 81002 |
|
10,564 |
6,136 |
$91K |
| 82947 |
|
5,933 |
4,068 |
$81K |
| 99000 |
|
9,457 |
7,433 |
$70K |
| 76825 |
|
986 |
886 |
$65K |
| Z1034 |
|
1,116 |
744 |
$61K |
| 93325 |
|
1,013 |
899 |
$56K |
| 76820 |
|
2,729 |
2,196 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
891 |
549 |
$42K |
| 76827 |
|
984 |
884 |
$39K |
| 59425 |
|
317 |
204 |
$13K |
| H1000 |
Prenatal care, at-risk assessment |
128 |
128 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
403 |
403 |
$13K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
310 |
193 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
199 |
$9K |
| 99245 |
|
44 |
44 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
60 |
58 |
$3K |
| Z1032 |
|
28 |
28 |
$3K |
| 99201 |
|
249 |
155 |
$793.45 |
| 82950 |
|
114 |
111 |
$359.21 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$163.74 |
| 81025 |
|
41 |
39 |
$88.30 |