| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,464 |
2,996 |
$518K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,107 |
5,182 |
$456K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
9,087 |
7,827 |
$416K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,551 |
5,077 |
$234K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,511 |
2,556 |
$181K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,461 |
2,353 |
$172K |
| 59025 |
Fetal non-stress test |
6,340 |
5,838 |
$148K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,103 |
2,009 |
$97K |
| 76820 |
|
1,356 |
712 |
$76K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,220 |
953 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,723 |
1,253 |
$42K |
| 76801 |
|
117 |
113 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
389 |
373 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
102 |
$8K |
| 96127 |
|
188 |
133 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
201 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
45 |
43 |
$5K |
| 95251 |
|
55 |
51 |
$4K |
| 97597 |
|
741 |
550 |
$4K |
| 81002 |
|
1,436 |
1,028 |
$4K |
| 76813 |
|
45 |
43 |
$4K |
| 91200 |
|
367 |
355 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
127 |
116 |
$3K |
| 99215 |
Prolong outpt/office vis |
72 |
62 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
228 |
212 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
25 |
$2K |
| 76825 |
|
17 |
13 |
$2K |
| 93325 |
|
17 |
13 |
$1K |
| 76827 |
|
17 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
38 |
$861.83 |
| 36415 |
Collection of venous blood by venipuncture |
288 |
272 |
$796.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
12 |
$90.48 |