| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76821 |
|
3,775 |
1,926 |
$268K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,625 |
1,311 |
$171K |
| 76820 |
|
3,954 |
2,007 |
$144K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,100 |
997 |
$114K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,462 |
1,281 |
$105K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
642 |
620 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,387 |
893 |
$46K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
442 |
381 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
328 |
189 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
121 |
$5K |
| 93976 |
|
14 |
14 |
$2K |