| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
7,470 |
7,325 |
$221K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
8,831 |
8,794 |
$142K |
| 76813 |
|
3,751 |
3,506 |
$89K |
| J1726 |
Injection, hydroxyprogesterone caproate, (makena), 10 mg |
293 |
99 |
$67K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
7,701 |
7,032 |
$66K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,495 |
7,806 |
$55K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,750 |
2,981 |
$43K |
| 76801 |
|
3,552 |
3,409 |
$37K |
| 76825 |
|
883 |
865 |
$11K |
| 93325 |
|
915 |
896 |
$10K |
| 59025 |
Fetal non-stress test |
5,974 |
1,620 |
$10K |
| 76827 |
|
889 |
871 |
$7K |
| 76820 |
|
1,058 |
585 |
$3K |
| 99245 |
|
46 |
46 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
61 |
$972.35 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
143 |
102 |
$868.13 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$0.00 |