| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,701 |
3,485 |
$137K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,411 |
1,258 |
$82K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,033 |
1,270 |
$64K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,699 |
1,563 |
$51K |
| 0502F |
|
980 |
695 |
$50K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,224 |
1,129 |
$44K |
| 59025 |
Fetal non-stress test |
3,257 |
1,840 |
$38K |
| 76818 |
|
733 |
472 |
$35K |
| 76801 |
|
611 |
577 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
62 |
60 |
$9K |
| 76820 |
|
155 |
89 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
57 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
77 |
$5K |
| 81002 |
|
931 |
697 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
62 |
36 |
$651.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$438.48 |
| 81003 |
|
44 |
40 |
$96.47 |