| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
558 |
276 |
$85K |
| 99215 |
Prolong outpt/office vis |
420 |
331 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
658 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
238 |
134 |
$26K |
| 76830 |
Ultrasound, transvaginal |
424 |
385 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
401 |
371 |
$24K |
| 99205 |
Prolong outpt/office vis |
178 |
159 |
$23K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
347 |
177 |
$21K |
| 76801 |
|
37 |
27 |
$6K |
| 59025 |
Fetal non-stress test |
61 |
37 |
$4K |
| 99402 |
|
54 |
40 |
$2K |
| 81025 |
|
254 |
224 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$1K |