| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
536 |
371 |
$48K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
403 |
271 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
373 |
314 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
134 |
134 |
$20K |
| 76820 |
|
400 |
265 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
77 |
$9K |
| 99215 |
Prolong outpt/office vis |
18 |
13 |
$2K |