| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,340 |
8,273 |
$311K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,479 |
4,420 |
$284K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
7,476 |
7,384 |
$265K |
| 76818 |
|
3,833 |
3,064 |
$134K |
| 59025 |
Fetal non-stress test |
3,872 |
2,468 |
$126K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,369 |
3,555 |
$98K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,084 |
2,711 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,066 |
1,904 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,149 |
1,082 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,070 |
1,059 |
$49K |
| 99215 |
Prolong outpt/office vis |
473 |
417 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,287 |
1,226 |
$24K |
| 76813 |
|
681 |
675 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,513 |
1,477 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
659 |
601 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
79 |
79 |
$7K |
| 76821 |
|
267 |
119 |
$7K |
| 76801 |
|
218 |
217 |
$7K |
| 76820 |
|
362 |
191 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
176 |
165 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
85 |
55 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
78 |
57 |
$3K |
| 76770 |
|
115 |
112 |
$2K |
| 99243 |
|
39 |
39 |
$2K |
| 76830 |
Ultrasound, transvaginal |
49 |
49 |
$1K |
| 76775 |
|
67 |
66 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$595.65 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
21 |
13 |
$486.87 |
| 76857 |
|
26 |
26 |
$379.63 |
| 96040 |
|
14 |
12 |
$337.16 |
| 99024 |
|
304 |
277 |
$0.00 |
| 99072 |
|
208 |
172 |
$0.00 |