| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,467 |
3,828 |
$471K |
| 76820 |
|
9,623 |
4,796 |
$362K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,749 |
2,594 |
$330K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,620 |
2,227 |
$298K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,166 |
1,969 |
$296K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,918 |
1,747 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,044 |
2,755 |
$193K |
| 76818 |
|
2,073 |
693 |
$191K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,763 |
1,130 |
$125K |
| 76825 |
|
485 |
432 |
$101K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
690 |
391 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
402 |
373 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
527 |
458 |
$34K |
| 76827 |
|
485 |
430 |
$27K |
| 99215 |
Prolong outpt/office vis |
252 |
193 |
$24K |
| 76801 |
|
215 |
191 |
$20K |
| 99205 |
Prolong outpt/office vis |
154 |
141 |
$19K |
| 76813 |
|
153 |
135 |
$14K |
| 93325 |
|
485 |
431 |
$8K |