| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,003 |
913 |
$59K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,213 |
1,100 |
$37K |
| 99242 |
|
188 |
177 |
$14K |
| 0502F |
|
292 |
231 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
104 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
289 |
202 |
$9K |
| 59025 |
Fetal non-stress test |
717 |
387 |
$6K |
| 99245 |
|
17 |
16 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
24 |
$3K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
39 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
12 |
$941.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$937.08 |
| 76820 |
|
16 |
12 |
$583.77 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
12 |
$550.05 |