| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,738 |
1,556 |
$139K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,206 |
789 |
$87K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,049 |
964 |
$76K |
| 76801 |
|
496 |
445 |
$52K |
| 76820 |
|
1,218 |
794 |
$51K |
| 93975 |
|
227 |
223 |
$47K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
26 |
26 |
$45K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
512 |
300 |
$43K |
| 76830 |
Ultrasound, transvaginal |
315 |
311 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408 |
274 |
$24K |
| 76813 |
|
230 |
228 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
233 |
230 |
$22K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
138 |
135 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
87 |
87 |
$11K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
591 |
410 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$2K |
| 81000 |
|
1,101 |
744 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99401 |
|
33 |
33 |
$1K |
| 96160 |
|
166 |
166 |
$650.28 |
| 36415 |
Collection of venous blood by venipuncture |
267 |
250 |
$259.56 |
| 81025 |
|
32 |
32 |
$114.41 |