| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76820 |
|
1,909 |
1,024 |
$159K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,279 |
659 |
$134K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,094 |
959 |
$118K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,163 |
1,005 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,339 |
$88K |
| 76818 |
|
287 |
112 |
$40K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
112 |
109 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
649 |
471 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
258 |
135 |
$20K |
| 76801 |
|
140 |
136 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
109 |
$6K |
| 99429 |
|
27 |
27 |
$3K |
| 99402 |
|
99 |
74 |
$2K |
| 59430 |
|
26 |
26 |
$2K |
| 99401 |
|
171 |
113 |
$2K |
| T1001 |
Nursing assessment / evaluation |
79 |
73 |
$445.96 |