| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
819 |
652 |
$43K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
267 |
154 |
$17K |
| 76820 |
|
259 |
152 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
149 |
115 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
211 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
13 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$653.10 |
| 0501F |
|
111 |
71 |
$308.15 |
| 90723 |
|
59 |
45 |
$0.41 |
| 86689 |
|
117 |
72 |
$0.04 |
| 82950 |
|
117 |
72 |
$0.04 |
| 3293F |
|
91 |
59 |
$0.00 |
| 3513F |
|
77 |
45 |
$0.00 |
| 3294F |
|
105 |
60 |
$0.00 |
| 3292F |
|
91 |
59 |
$0.00 |
| 3291F |
|
61 |
32 |
$0.00 |