| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
467 |
362 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
325 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
85 |
69 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
86 |
73 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
46 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
40 |
$3K |
| 99205 |
Prolong outpt/office vis |
36 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
30 |
25 |
$2K |
| 76820 |
|
44 |
30 |
$2K |
| 93976 |
|
14 |
13 |
$2K |
| 76821 |
|
19 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
21 |
12 |
$673.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$447.03 |