| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,961 |
2,013 |
$603K |
| 99215 |
Prolong outpt/office vis |
3,728 |
2,808 |
$447K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,495 |
3,630 |
$189K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,830 |
2,634 |
$170K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,639 |
807 |
$170K |
| 76830 |
Ultrasound, transvaginal |
2,841 |
2,622 |
$168K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,376 |
1,252 |
$135K |
| 99205 |
Prolong outpt/office vis |
1,014 |
905 |
$134K |
| 76801 |
|
309 |
175 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
88 |
$10K |
| 99402 |
|
239 |
208 |
$9K |
| 59025 |
Fetal non-stress test |
141 |
86 |
$8K |
| 81025 |
|
1,374 |
1,220 |
$8K |
| 93975 |
|
45 |
42 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$3K |