| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
387 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
730 |
683 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
376 |
339 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
80 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$347.84 |