| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
478 |
432 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,307 |
1,140 |
$69K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,280 |
1,078 |
$64K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
458 |
357 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
246 |
212 |
$21K |
| 76821 |
|
52 |
40 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
76 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
67 |
$2K |
| 76820 |
|
50 |
39 |
$2K |
| 99201 |
|
25 |
25 |
$875.27 |