| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
2,859 |
2,807 |
$273K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,123 |
2,018 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,362 |
2,186 |
$173K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,195 |
2,158 |
$172K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,670 |
11,477 |
$168K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,249 |
2,142 |
$160K |
| 76801 |
|
614 |
603 |
$59K |
| 59025 |
Fetal non-stress test |
500 |
335 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
111 |
109 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
160 |
103 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
62 |
$5K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 76376 |
|
54 |
50 |
$392.14 |
| 81025 |
|
30 |
29 |
$208.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$134.74 |
| 99000 |
|
27 |
25 |
$10.26 |