| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76801 |
|
287 |
279 |
$28K |
| 76813 |
|
287 |
279 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
286 |
221 |
$25K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
147 |
144 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
220 |
164 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
76 |
74 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
153 |
$8K |
| 76820 |
|
126 |
91 |
$4K |
| 76821 |
|
61 |
44 |
$4K |