| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
549 |
484 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
347 |
324 |
$11K |
| 76818 |
|
342 |
274 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
211 |
203 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
26 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
104 |
102 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
85 |
83 |
$3K |
| 76813 |
|
30 |
30 |
$841.36 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$808.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$694.47 |
| 59025 |
Fetal non-stress test |
99 |
33 |
$663.60 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
43 |
33 |
$621.99 |
| 76801 |
|
13 |
12 |
$539.25 |
| 76825 |
|
12 |
12 |
$382.45 |
| 76827 |
|
12 |
12 |
$329.37 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$326.15 |