| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
6,613 |
3,297 |
$608K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,454 |
7,202 |
$466K |
| 59425 |
|
4,262 |
3,259 |
$370K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,027 |
2,529 |
$231K |
| 59410 |
|
193 |
175 |
$137K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
895 |
801 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
320 |
289 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
295 |
227 |
$19K |
| 59025 |
Fetal non-stress test |
877 |
647 |
$19K |
| 76801 |
|
134 |
105 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
88 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
67 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
42 |
$6K |
| 81025 |
|
610 |
566 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
29 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$281.40 |
| 87210 |
|
85 |
76 |
$275.42 |
| 81001 |
|
103 |
82 |
$223.59 |