| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,494 |
1,344 |
$140K |
| 76818 |
|
535 |
370 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,668 |
1,362 |
$38K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
162 |
155 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
397 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
57 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$4K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
318 |
267 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
73 |
58 |
$825.28 |
| 76825 |
|
12 |
12 |
$0.00 |
| 76827 |
|
12 |
12 |
$0.00 |
| 93325 |
|
12 |
12 |
$0.00 |
| 59025 |
Fetal non-stress test |
19 |
13 |
$0.00 |