| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
975 |
867 |
$149K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
689 |
469 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,166 |
866 |
$32K |
| 76821 |
|
315 |
195 |
$23K |
| 99242 |
|
351 |
312 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
193 |
103 |
$14K |
| 76820 |
|
294 |
207 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
216 |
$9K |
| 76825 |
|
68 |
56 |
$6K |
| 93325 |
|
306 |
256 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
43 |
$2K |