| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
774 |
640 |
$81K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,072 |
749 |
$68K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,020 |
516 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,045 |
625 |
$34K |
| 99243 |
|
405 |
324 |
$22K |
| S8301 |
Infection control supplies, not otherwise specified |
1,854 |
1,119 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
76 |
39 |
$3K |
| 99215 |
Prolong outpt/office vis |
43 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 76801 |
|
12 |
12 |
$1K |