| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
29,258 |
12,896 |
$1.57M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
8,510 |
7,615 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,180 |
21,093 |
$1.06M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16,229 |
13,585 |
$887K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
10,723 |
8,522 |
$598K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,546 |
6,304 |
$467K |
| 76820 |
|
10,025 |
4,272 |
$359K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,195 |
2,934 |
$272K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,356 |
4,013 |
$240K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,833 |
2,656 |
$213K |
| 76801 |
|
1,439 |
1,308 |
$101K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,988 |
516 |
$68K |
| 99233 |
Prolong inpt eval add15 m |
776 |
534 |
$40K |
| 82962 |
|
13,064 |
7,444 |
$28K |
| 76818 |
|
1,171 |
307 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
730 |
551 |
$22K |
| 76821 |
|
363 |
172 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
884 |
657 |
$18K |
| 59514 |
|
35 |
26 |
$12K |
| 99215 |
Prolong outpt/office vis |
162 |
145 |
$12K |
| 99051 |
|
1,002 |
922 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
17 |
14 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
266 |
106 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
19 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
60 |
$65.25 |