| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93325 |
|
16,315 |
15,016 |
$958K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13,600 |
12,902 |
$944K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
7,129 |
6,862 |
$885K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15,457 |
13,624 |
$458K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
6,817 |
6,571 |
$436K |
| 76828 |
|
12,587 |
11,617 |
$337K |
| 76813 |
|
3,798 |
3,547 |
$325K |
| 76801 |
|
5,037 |
4,780 |
$311K |
| 76827 |
|
6,471 |
6,199 |
$275K |
| 76825 |
|
3,615 |
3,524 |
$242K |
| 76826 |
|
4,696 |
4,478 |
$233K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,423 |
778 |
$60K |
| 76820 |
|
1,554 |
856 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
914 |
834 |
$32K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
530 |
271 |
$28K |
| 59025 |
Fetal non-stress test |
1,376 |
565 |
$24K |
| 99242 |
|
394 |
389 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
418 |
391 |
$17K |
| 76821 |
|
286 |
152 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
265 |
$9K |
| Z1034 |
|
130 |
110 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
73 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
57 |
44 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$2K |
| 99201 |
|
46 |
46 |
$1K |
| 99241 |
|
14 |
13 |
$357.09 |
| 99072 |
|
31 |
25 |
$0.00 |