| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,959 |
5,327 |
$277K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,084 |
2,773 |
$272K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,276 |
3,807 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,255 |
973 |
$154K |
| 76801 |
|
1,892 |
1,748 |
$100K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,867 |
2,069 |
$97K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,717 |
1,519 |
$88K |
| 76818 |
|
1,073 |
640 |
$79K |
| 76813 |
|
1,416 |
1,335 |
$78K |
| 59025 |
Fetal non-stress test |
3,614 |
2,247 |
$52K |
| 76820 |
|
995 |
640 |
$42K |
| 99215 |
Prolong outpt/office vis |
137 |
106 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
108 |
$13K |
| 76830 |
Ultrasound, transvaginal |
117 |
105 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
101 |
64 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
16 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$2K |
| 76376 |
|
73 |
63 |
$1K |
| 81003 |
|
38 |
16 |
$55.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
13 |
$36.30 |