| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,163 |
752 |
$57K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,189 |
768 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,352 |
651 |
$34K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
152 |
62 |
$8K |
| 93976 |
|
319 |
121 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
75 |
26 |
$3K |
| 76820 |
|
54 |
26 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
14 |
$1K |
| 81025 |
|
40 |
28 |
$86.94 |
| 81002 |
|
140 |
60 |
$82.46 |