| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,992 |
2,004 |
$445K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,818 |
1,884 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,314 |
1,998 |
$352K |
| 76821 |
|
4,189 |
2,596 |
$323K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,982 |
1,678 |
$282K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,406 |
1,922 |
$263K |
| 76820 |
|
5,334 |
3,202 |
$208K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,077 |
768 |
$86K |
| 76825 |
|
125 |
51 |
$31K |
| 76827 |
|
143 |
63 |
$10K |
| 93325 |
|
84 |
36 |
$2K |