| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,431 |
10,102 |
$661K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,547 |
4,294 |
$453K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,528 |
6,182 |
$319K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,560 |
4,511 |
$146K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,235 |
1,175 |
$70K |
| H1000 |
Prenatal care, at-risk assessment |
496 |
404 |
$26K |
| 76820 |
|
2,231 |
1,517 |
$19K |
| 99242 |
|
202 |
187 |
$15K |
| 99205 |
Prolong outpt/office vis |
151 |
142 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
261 |
$14K |
| 99243 |
|
313 |
271 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153 |
131 |
$6K |
| 99241 |
|
46 |
45 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
64 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
191 |
164 |
$2K |
| 76821 |
|
38 |
24 |
$2K |
| 81003 |
|
558 |
330 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$552.75 |
| 81002 |
|
64 |
54 |
$47.58 |
| 3074F |
|
1,212 |
1,023 |
$0.00 |
| 3079F |
|
154 |
121 |
$0.00 |
| 3078F |
|
1,041 |
894 |
$0.00 |