| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
206 |
204 |
$37K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
250 |
160 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
241 |
228 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
175 |
141 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
65 |
$4K |
| 76820 |
|
75 |
43 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
42 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$1K |
| 76825 |
|
13 |
12 |
$1K |