| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14,984 |
11,438 |
$785K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,815 |
5,359 |
$684K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,051 |
10,702 |
$649K |
| 76818 |
|
6,304 |
3,398 |
$436K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,305 |
5,510 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,862 |
5,340 |
$233K |
| H1000 |
Prenatal care, at-risk assessment |
2,872 |
1,880 |
$195K |
| 99215 |
Prolong outpt/office vis |
2,368 |
1,913 |
$182K |
| 93976 |
|
1,148 |
859 |
$135K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,237 |
1,118 |
$105K |
| 76813 |
|
1,301 |
1,183 |
$99K |
| 76801 |
|
1,625 |
1,454 |
$93K |
| 76825 |
|
561 |
525 |
$91K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,914 |
1,244 |
$67K |
| 59410 |
|
62 |
59 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,247 |
1,151 |
$54K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
655 |
599 |
$46K |
| 59515 |
|
40 |
38 |
$44K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,346 |
1,071 |
$42K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
182 |
161 |
$27K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
31 |
31 |
$21K |
| 76820 |
|
1,588 |
966 |
$20K |
| 81003 |
|
17,277 |
12,564 |
$19K |
| 76827 |
|
903 |
800 |
$19K |
| 59430 |
|
151 |
128 |
$11K |
| 76821 |
|
325 |
206 |
$10K |
| 93325 |
|
555 |
515 |
$6K |
| 99219 |
|
33 |
19 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
129 |
111 |
$3K |
| 59025 |
Fetal non-stress test |
273 |
173 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
668 |
635 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
101 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
116 |
103 |
$1K |
| 82962 |
|
299 |
254 |
$569.59 |
| 81025 |
|
246 |
231 |
$314.38 |
| 82947 |
|
190 |
145 |
$46.68 |
| 81000 |
|
270 |
171 |
$2.43 |