| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
846 |
817 |
$170K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,037 |
1,813 |
$160K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,674 |
1,391 |
$129K |
| 76820 |
|
3,226 |
1,906 |
$112K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,283 |
1,766 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,908 |
1,286 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
964 |
$53K |
| 76813 |
|
533 |
499 |
$35K |
| 76801 |
|
593 |
539 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
437 |
421 |
$28K |
| 76821 |
|
539 |
287 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,028 |
593 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
121 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
55 |
48 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$825.00 |