| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,028 |
1,701 |
$278K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,140 |
938 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
629 |
488 |
$61K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
185 |
101 |
$16K |
| 99070 |
|
28 |
28 |
$840.00 |