| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,181 |
1,803 |
$154K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,074 |
2,800 |
$108K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
694 |
583 |
$96K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,741 |
1,560 |
$95K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,331 |
1,216 |
$42K |
| 76818 |
|
1,194 |
849 |
$36K |
| 99243 |
|
140 |
123 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
488 |
423 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
281 |
254 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
219 |
197 |
$7K |
| 76813 |
|
192 |
186 |
$6K |
| 76820 |
|
123 |
75 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
95 |
31 |
$2K |
| 76821 |
|
70 |
38 |
$2K |
| 76825 |
|
36 |
27 |
$1K |
| 76827 |
|
32 |
24 |
$1K |
| 93325 |
|
32 |
24 |
$704.78 |
| 59025 |
Fetal non-stress test |
79 |
27 |
$584.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$442.98 |
| 76801 |
|
14 |
13 |
$401.96 |
| 99201 |
|
13 |
13 |
$382.55 |