| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
768 |
622 |
$45K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
395 |
252 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
146 |
130 |
$22K |
| 76820 |
|
396 |
254 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
244 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
144 |
126 |
$9K |
| 59425 |
|
20 |
18 |
$6K |
| 76801 |
|
13 |
13 |
$952.57 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
12 |
$844.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
12 |
$307.12 |
| 81025 |
|
33 |
29 |
$193.05 |
| 0501F |
|
48 |
43 |
$70.00 |
| 82950 |
|
113 |
68 |
$0.73 |
| 90723 |
|
78 |
38 |
$0.26 |
| 86689 |
|
128 |
81 |
$0.10 |
| 3293F |
|
48 |
43 |
$0.00 |
| 3513F |
|
47 |
42 |
$0.00 |
| 3292F |
|
47 |
42 |
$0.00 |
| 3294F |
|
109 |
66 |
$0.00 |
| 3291F |
|
32 |
29 |
$0.00 |