| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
704 |
584 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,037 |
636 |
$44K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
38 |
38 |
$5K |
| 76818 |
|
61 |
29 |
$5K |
| 99215 |
Prolong outpt/office vis |
48 |
40 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
47 |
39 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
50 |
39 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
37 |
27 |
$2K |
| 87428 |
|
22 |
18 |
$1K |
| 59430 |
|
14 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$828.59 |
| 76820 |
|
16 |
13 |
$623.41 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$436.81 |
| 3008F |
|
20 |
14 |
$0.00 |
| 3074F |
|
23 |
16 |
$0.00 |