| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,556 |
1,368 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,866 |
2,755 |
$145K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,461 |
1,956 |
$133K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,649 |
1,368 |
$117K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,302 |
1,180 |
$114K |
| 76825 |
|
500 |
431 |
$82K |
| 76818 |
|
817 |
425 |
$60K |
| 99243 |
|
630 |
560 |
$40K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
345 |
300 |
$31K |
| 76827 |
|
500 |
430 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
209 |
$11K |
| 93325 |
|
513 |
435 |
$5K |