| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93976 |
|
2,137 |
1,756 |
$225K |
| 99215 |
Prolong outpt/office vis |
1,402 |
1,010 |
$155K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,536 |
1,224 |
$131K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,254 |
1,000 |
$80K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
537 |
511 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
998 |
861 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
742 |
565 |
$48K |
| 99205 |
Prolong outpt/office vis |
194 |
189 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
170 |
$16K |
| 76820 |
|
386 |
290 |
$13K |
| 76821 |
|
198 |
142 |
$12K |
| 59025 |
Fetal non-stress test |
62 |
49 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
38 |
$2K |
| 81003 |
|
1,373 |
1,148 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 76801 |
|
15 |
15 |
$1K |