| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,729 |
5,650 |
$600K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,906 |
6,930 |
$476K |
| 99242 |
|
9,612 |
8,406 |
$461K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,010 |
5,837 |
$317K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,295 |
5,127 |
$298K |
| 76821 |
|
5,322 |
4,735 |
$222K |
| 93975 |
|
5,148 |
4,803 |
$188K |
| 93325 |
|
3,148 |
2,958 |
$156K |
| 76813 |
|
2,295 |
2,277 |
$152K |
| 76825 |
|
2,876 |
2,818 |
$127K |
| 76820 |
|
6,422 |
5,697 |
$118K |
| 76801 |
|
2,422 |
2,392 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,618 |
6,738 |
$95K |
| 76827 |
|
2,828 |
2,771 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,050 |
2,038 |
$64K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
721 |
533 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
887 |
881 |
$32K |
| 59425 |
|
416 |
354 |
$25K |
| 76826 |
|
437 |
410 |
$20K |
| 76828 |
|
422 |
397 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
71 |
71 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
56 |
56 |
$4K |
| 99243 |
|
86 |
81 |
$2K |
| 99241 |
|
28 |
28 |
$798.38 |
| 99000 |
|
104 |
104 |
$361.37 |