| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,144 |
2,177 |
$222K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,854 |
2,531 |
$203K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,300 |
1,706 |
$142K |
| 93975 |
|
817 |
799 |
$128K |
| 76820 |
|
3,110 |
2,129 |
$107K |
| 76830 |
Ultrasound, transvaginal |
1,351 |
1,305 |
$94K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,151 |
1,039 |
$82K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
524 |
509 |
$70K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
503 |
470 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
838 |
813 |
$28K |
| 76377 |
|
426 |
420 |
$19K |
| 76813 |
|
286 |
274 |
$19K |
| 76801 |
|
196 |
185 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
121 |
$10K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
757 |
493 |
$8K |
| 81000 |
|
1,801 |
1,234 |
$7K |
| 96160 |
|
125 |
125 |
$501.80 |
| 36415 |
Collection of venous blood by venipuncture |
520 |
490 |
$4.23 |
| 99024 |
|
13 |
12 |
$0.00 |
| 99072 |
|
68 |
53 |
$0.00 |