| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,859 |
1,265 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,534 |
667 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
751 |
332 |
$35K |
| 76818 |
|
157 |
49 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
154 |
$19K |
| 76801 |
|
62 |
57 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
84 |
64 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
82 |
72 |
$5K |
| 76820 |
|
88 |
62 |
$4K |
| 76813 |
|
54 |
53 |
$4K |
| 76821 |
|
63 |
43 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
15 |
13 |
$2K |
| 93976 |
|
15 |
14 |
$2K |
| 93975 |
|
14 |
12 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$2K |
| 99243 |
|
13 |
12 |
$970.86 |
| 99242 |
|
15 |
14 |
$838.89 |
| 36415 |
Collection of venous blood by venipuncture |
198 |
153 |
$593.37 |
| 81003 |
|
1,628 |
631 |
$303.88 |
| 0502F |
|
21 |
12 |
$0.00 |
| 99072 |
|
53 |
35 |
$0.00 |
| 81002 |
|
20 |
14 |
$0.00 |