| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,345 |
1,255 |
$83K |
| 76801 |
|
672 |
595 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
798 |
747 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,120 |
1,056 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
353 |
345 |
$27K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
268 |
222 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
271 |
252 |
$13K |
| 76830 |
Ultrasound, transvaginal |
132 |
130 |
$9K |
| 76818 |
|
74 |
43 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
25 |
25 |
$3K |
| 81025 |
|
292 |
279 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 59025 |
Fetal non-stress test |
27 |
18 |
$891.66 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$732.74 |
| 0500F |
|
13 |
13 |
$0.00 |