| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59514 |
|
386 |
372 |
$70K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
504 |
484 |
$47K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,743 |
1,253 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
124 |
124 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
199 |
105 |
$15K |
| 76801 |
|
97 |
95 |
$10K |
| 76820 |
|
175 |
97 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
66 |
62 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
64 |
$5K |
| 81002 |
|
1,325 |
955 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |