| Code | Description | Claims | Beneficiaries | Total Paid |
| 76819 |
Fetal biophysical profile; without non-stress testing |
10,457 |
6,212 |
$741K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,580 |
6,163 |
$714K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,224 |
3,013 |
$493K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,461 |
4,622 |
$453K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,528 |
2,805 |
$411K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,396 |
3,184 |
$356K |
| 76820 |
|
7,840 |
4,602 |
$345K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,350 |
3,654 |
$302K |
| 99243 |
|
2,594 |
2,413 |
$299K |
| 76821 |
|
3,345 |
1,972 |
$234K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,668 |
2,277 |
$233K |
| 99215 |
Prolong outpt/office vis |
869 |
758 |
$143K |
| 76801 |
|
1,328 |
1,208 |
$119K |
| 76813 |
|
1,218 |
1,114 |
$107K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
480 |
450 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
215 |
$17K |
| 76827 |
|
100 |
79 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,493 |
1,354 |
$3K |
| 76825 |
|
14 |
13 |
$2K |
| 99241 |
|
13 |
12 |
$597.72 |
| 93325 |
|
27 |
24 |
$385.50 |