| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
2,415 |
1,560 |
$107K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,041 |
886 |
$65K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
692 |
360 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
520 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
251 |
197 |
$17K |
| 76830 |
Ultrasound, transvaginal |
269 |
238 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$12K |
| 76801 |
|
146 |
132 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
64 |
56 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
47 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 59025 |
Fetal non-stress test |
174 |
145 |
$1K |
| 0503F |
|
12 |
12 |
$609.33 |
| 81003 |
|
33 |
30 |
$70.92 |
| 81002 |
|
26 |
25 |
$67.60 |
| 81025 |
|
15 |
15 |
$33.62 |