| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,086 |
4,865 |
$208K |
| 76818 |
|
2,267 |
1,789 |
$156K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
753 |
743 |
$66K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,555 |
1,493 |
$58K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,749 |
1,584 |
$57K |
| 59025 |
Fetal non-stress test |
925 |
441 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
269 |
$16K |
| 76820 |
|
526 |
426 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
70 |
68 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
171 |
170 |
$8K |
| 76821 |
|
147 |
112 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
53 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
135 |
119 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
41 |
16 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
27 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
34 |
13 |
$1K |
| 76801 |
|
27 |
27 |
$1K |