| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,073 |
881 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,389 |
983 |
$50K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
382 |
361 |
$37K |
| 76818 |
|
468 |
289 |
$32K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
105 |
101 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$881.40 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
18 |
13 |
$536.59 |
| A4559 |
Coupling gel or paste, for use with ultrasound device, per oz |
1,735 |
1,247 |
$0.00 |