| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,552 |
4,592 |
$245K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,523 |
2,279 |
$152K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,292 |
2,109 |
$130K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,696 |
2,608 |
$101K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,249 |
1,508 |
$83K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,167 |
1,940 |
$83K |
| 99242 |
|
501 |
462 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
673 |
516 |
$27K |
| 76820 |
|
479 |
358 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
625 |
398 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
102 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
446 |
130 |
$7K |
| 59025 |
Fetal non-stress test |
263 |
141 |
$2K |
| 76801 |
|
44 |
38 |
$2K |
| 76818 |
|
15 |
12 |
$876.66 |