| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,435 |
1,351 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
920 |
831 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,319 |
1,232 |
$72K |
| 76818 |
|
499 |
400 |
$35K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
568 |
540 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
264 |
249 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$3K |
| 93000 |
|
217 |
216 |
$3K |
| 76820 |
|
78 |
51 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30 |
13 |
$2K |
| 76821 |
|
41 |
30 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
259 |
255 |
$403.41 |
| 81025 |
|
43 |
43 |
$208.58 |
| 1036F |
|
266 |
240 |
$0.00 |
| 99000 |
|
139 |
124 |
$0.00 |