| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,610 |
1,604 |
$318K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,303 |
3,852 |
$228K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,618 |
1,570 |
$169K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,021 |
1,997 |
$164K |
| 76801 |
|
1,977 |
1,881 |
$138K |
| 76813 |
|
1,512 |
1,509 |
$121K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
884 |
796 |
$78K |
| 76820 |
|
442 |
258 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
387 |
356 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
494 |
408 |
$13K |
| 76825 |
|
40 |
40 |
$4K |
| 76827 |
|
40 |
40 |
$3K |
| 99241 |
|
55 |
54 |
$1K |
| 93325 |
|
30 |
29 |
$713.42 |
| 36415 |
Collection of venous blood by venipuncture |
289 |
289 |
$475.93 |
| 99051 |
|
19 |
19 |
$28.39 |
| A4559 |
Coupling gel or paste, for use with ultrasound device, per oz |
2,020 |
1,573 |
$1.00 |
| A4270 |
Disposable endoscope sheath, each |
199 |
189 |
$0.00 |
| 36416 |
|
42 |
42 |
$0.00 |