| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,433 |
2,698 |
$406K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,260 |
2,862 |
$257K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,119 |
974 |
$252K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,332 |
1,824 |
$217K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,185 |
790 |
$116K |
| 76820 |
|
1,427 |
854 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
599 |
518 |
$60K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
450 |
311 |
$29K |
| 81003 |
|
4,716 |
3,197 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
91 |
67 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
50 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
63 |
56 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
62 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
80 |
75 |
$3K |
| 76825 |
|
15 |
13 |
$2K |
| 93325 |
|
14 |
12 |
$2K |
| 76827 |
|
15 |
13 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
43 |
34 |
$1K |