| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,022 |
900 |
$111K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,934 |
1,642 |
$110K |
| 76818 |
|
851 |
511 |
$65K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,318 |
1,104 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
274 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
568 |
491 |
$38K |
| 76801 |
|
413 |
327 |
$28K |
| 76813 |
|
328 |
256 |
$25K |
| 99215 |
Prolong outpt/office vis |
111 |
72 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
87 |
$11K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
109 |
66 |
$6K |
| 59025 |
Fetal non-stress test |
92 |
51 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
33 |
32 |
$2K |
| 76820 |
|
33 |
12 |
$1K |
| 90686 |
|
27 |
12 |
$386.60 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
39 |
$57.40 |