| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,321 |
3,442 |
$488K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,163 |
2,380 |
$264K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,113 |
2,134 |
$260K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,346 |
1,101 |
$198K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,366 |
1,145 |
$180K |
| 76801 |
|
1,089 |
965 |
$110K |
| 76820 |
|
1,377 |
940 |
$99K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
761 |
635 |
$64K |
| 76821 |
|
193 |
111 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
183 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
176 |
$8K |
| 99243 |
|
61 |
46 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
12 |
$3K |
| 0502F |
|
51 |
35 |
$2K |
| 81002 |
|
86 |
62 |
$279.16 |