| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,572 |
4,325 |
$784K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,495 |
7,163 |
$730K |
| 76813 |
|
2,158 |
1,994 |
$247K |
| 76801 |
|
1,890 |
1,872 |
$201K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
722 |
721 |
$90K |
| 0002A |
|
1,736 |
1,736 |
$68K |
| 0001A |
|
1,699 |
1,699 |
$64K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,539 |
3,417 |
$57K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
583 |
578 |
$46K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
117 |
112 |
$11K |
| 0012A |
|
223 |
223 |
$9K |
| 0011A |
|
236 |
235 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
92 |
92 |
$8K |
| 99245 |
|
28 |
26 |
$4K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$4K |
| 0004A |
|
95 |
95 |
$4K |
| 0064A |
|
79 |
79 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
42 |
26 |
$3K |
| 76820 |
|
73 |
66 |
$3K |
| 76825 |
|
28 |
25 |
$3K |
| 0054A |
|
68 |
67 |
$3K |
| 0031A |
|
66 |
66 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| 0072A |
|
51 |
50 |
$2K |
| 0071A |
|
44 |
44 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
34 |
26 |
$2K |
| 0003A |
|
24 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$992.05 |
| 76827 |
|
28 |
25 |
$902.68 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33 |
16 |
$615.93 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$589.18 |
| 92015 |
Determination of refractive state |
71 |
68 |
$578.98 |
| 99305 |
|
13 |
12 |
$574.06 |
| 92083 |
|
12 |
12 |
$212.55 |
| 92228 |
|
13 |
13 |
$153.63 |
| 93325 |
|
28 |
25 |
$152.97 |
| 92227 |
|
19 |
19 |
$0.00 |
| 2026F |
|
19 |
19 |
$0.00 |