| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
258 |
194 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
430 |
338 |
$18K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
111 |
105 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
17 |
12 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
104 |
70 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
23 |
19 |
$1K |
| 76820 |
|
29 |
19 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$1K |
| 99078 |
|
18 |
15 |
$540.00 |