| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,048 |
959 |
$68K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
856 |
494 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
837 |
737 |
$41K |
| 76820 |
|
918 |
505 |
$25K |
| 81002 |
|
5,822 |
3,662 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
171 |
169 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
143 |
$14K |
| 81025 |
|
1,815 |
1,684 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
110 |
$8K |
| 59025 |
Fetal non-stress test |
229 |
75 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
35 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$929.63 |
| 76801 |
|
12 |
12 |
$836.76 |
| 99072 |
|
305 |
198 |
$35.00 |
| 0502F |
|
3,086 |
1,561 |
$1.97 |
| 0503F |
|
17 |
12 |
$0.01 |
| 0500F |
|
59 |
53 |
$0.00 |