| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,165 |
1,046 |
$141K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,169 |
1,059 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,251 |
893 |
$91K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,114 |
840 |
$88K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
912 |
597 |
$59K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
377 |
306 |
$25K |
| 76820 |
|
360 |
236 |
$12K |
| 76821 |
|
165 |
80 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
62 |
25 |
$3K |
| 76825 |
|
13 |
12 |
$2K |
| 76801 |
|
13 |
12 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
51 |
30 |
$1K |
| 76827 |
|
14 |
13 |
$679.98 |
| 93325 |
|
13 |
12 |
$122.18 |