| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,653 |
5,912 |
$587K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,443 |
4,295 |
$260K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,602 |
3,085 |
$252K |
| 99243 |
|
1,783 |
1,516 |
$172K |
| 76820 |
|
3,126 |
1,880 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,983 |
1,949 |
$142K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,968 |
1,896 |
$110K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,062 |
1,578 |
$67K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,582 |
1,211 |
$59K |
| 59025 |
Fetal non-stress test |
4,114 |
2,063 |
$49K |
| 76818 |
|
565 |
492 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,065 |
711 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
92 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
29 |
$2K |
| 76825 |
|
16 |
14 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
25 |
13 |
$2K |
| 76821 |
|
19 |
12 |
$1K |
| 76827 |
|
16 |
14 |
$710.90 |
| 0502F |
|
15 |
14 |
$663.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
15 |
$594.88 |
| 93325 |
|
14 |
13 |
$468.21 |
| 81002 |
|
14 |
13 |
$28.60 |