| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,073 |
683 |
$51K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
671 |
465 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
709 |
689 |
$35K |
| 76813 |
|
398 |
242 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
398 |
396 |
$19K |
| 76830 |
Ultrasound, transvaginal |
150 |
123 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
135 |
$9K |
| 99493 |
|
53 |
53 |
$5K |
| 99494 |
|
60 |
33 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
12 |
$1K |
| 76801 |
|
23 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 76857 |
|
27 |
25 |
$911.28 |