| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,790 |
4,448 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,608 |
2,402 |
$111K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,676 |
2,191 |
$79K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,780 |
1,748 |
$58K |
| 76801 |
|
1,396 |
1,252 |
$40K |
| 76830 |
Ultrasound, transvaginal |
1,256 |
1,227 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
313 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
89 |
$8K |
| 76813 |
|
218 |
212 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
163 |
127 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
119 |
$3K |
| 81025 |
|
147 |
146 |
$998.46 |
| 99459 |
|
63 |
58 |
$9.34 |