| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
13,558 |
7,049 |
$843K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,254 |
6,927 |
$693K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,188 |
2,497 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,839 |
3,580 |
$238K |
| 76818 |
|
2,575 |
1,361 |
$212K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,419 |
1,160 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,719 |
1,301 |
$126K |
| 76820 |
|
2,549 |
1,202 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,437 |
1,922 |
$73K |
| 99215 |
Prolong outpt/office vis |
540 |
405 |
$53K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
281 |
180 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
233 |
182 |
$13K |
| 76825 |
|
82 |
66 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
70 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,113 |
1,589 |
$5K |
| 96040 |
|
186 |
146 |
$4K |
| 76827 |
|
81 |
65 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
28 |
$3K |
| 59025 |
Fetal non-stress test |
108 |
68 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
15 |
$2K |
| 93325 |
|
83 |
65 |
$2K |
| 99243 |
|
35 |
24 |
$2K |
| 99205 |
Prolong outpt/office vis |
17 |
16 |
$2K |
| 99417 |
Prolong home eval add 15m |
15 |
12 |
$933.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$172.04 |
| 3074F |
|
7,908 |
5,648 |
$0.00 |
| 3075F |
|
295 |
208 |
$0.00 |
| 3079F |
|
1,963 |
1,403 |
$0.00 |
| 3080F |
|
16 |
12 |
$0.00 |
| 3078F |
|
6,712 |
4,869 |
$0.00 |