| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,150 |
1,944 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
304 |
282 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
204 |
87 |
$14K |
| 81002 |
|
1,605 |
1,055 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
40 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$4K |
| 76820 |
|
94 |
45 |
$4K |
| 76801 |
|
30 |
25 |
$3K |
| 59514 |
|
15 |
15 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$878.17 |
| 81025 |
|
15 |
14 |
$99.54 |