| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
240 |
220 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
192 |
183 |
$19K |
| 76825 |
|
82 |
75 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
193 |
159 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
167 |
121 |
$10K |
| 99243 |
|
94 |
88 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
122 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
166 |
$5K |
| 76827 |
|
82 |
75 |
$4K |
| 99242 |
|
53 |
48 |
$3K |
| 93325 |
|
82 |
75 |
$1K |