| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,836 |
3,462 |
$125K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,802 |
1,602 |
$103K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,733 |
2,411 |
$84K |
| 76820 |
|
963 |
587 |
$40K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,108 |
1,048 |
$36K |
| 99245 |
|
154 |
146 |
$28K |
| 76818 |
|
889 |
566 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
354 |
152 |
$22K |
| 76821 |
|
452 |
268 |
$14K |
| 99215 |
Prolong outpt/office vis |
114 |
89 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
212 |
115 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
177 |
147 |
$6K |
| 59025 |
Fetal non-stress test |
584 |
304 |
$6K |
| 99255 |
|
58 |
53 |
$5K |
| 0502F |
|
71 |
53 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
17 |
16 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$2K |
| 99243 |
|
15 |
13 |
$2K |
| 81003 |
|
42 |
36 |
$105.21 |