| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
971 |
952 |
$127K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,924 |
1,716 |
$119K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,709 |
742 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,214 |
898 |
$45K |
| 76820 |
|
961 |
504 |
$45K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
548 |
437 |
$31K |
| 76821 |
|
355 |
169 |
$21K |
| 99241 |
|
455 |
445 |
$13K |
| 99242 |
|
131 |
131 |
$7K |
| 76813 |
|
27 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 76827 |
|
13 |
12 |
$703.03 |
| 99201 |
|
13 |
13 |
$307.97 |