| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,839 |
1,587 |
$188K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
636 |
532 |
$72K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
522 |
307 |
$36K |
| 59025 |
Fetal non-stress test |
1,223 |
385 |
$35K |
| 76820 |
|
917 |
492 |
$25K |
| 76830 |
Ultrasound, transvaginal |
375 |
334 |
$25K |
| 87510 |
|
475 |
439 |
$8K |
| 87480 |
|
474 |
438 |
$8K |
| 87660 |
|
473 |
437 |
$8K |
| 81002 |
|
1,759 |
836 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
62 |
43 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$2K |
| 87210 |
|
420 |
398 |
$2K |
| 36410 |
|
184 |
167 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
295 |
268 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
574 |
509 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
33 |
30 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
26 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
16 |
14 |
$821.46 |
| 85049 |
|
33 |
33 |
$136.61 |
| 85048 |
|
33 |
33 |
$77.53 |
| 85014 |
|
32 |
32 |
$69.87 |
| 85018 |
|
32 |
32 |
$69.87 |