| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,051 |
1,501 |
$330K |
| 76818 |
|
4,167 |
2,544 |
$321K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,069 |
2,060 |
$313K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,889 |
1,859 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,390 |
2,251 |
$127K |
| 76820 |
|
2,044 |
1,278 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,439 |
906 |
$83K |
| 59025 |
Fetal non-stress test |
2,485 |
944 |
$80K |
| 99243 |
|
485 |
482 |
$26K |
| H1000 |
Prenatal care, at-risk assessment |
954 |
945 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
603 |
220 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
106 |
85 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
62 |
60 |
$5K |
| 76825 |
|
40 |
39 |
$5K |
| 93975 |
|
21 |
13 |
$4K |
| 93325 |
|
52 |
51 |
$3K |
| J1729 |
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg |
273 |
109 |
$294.63 |