| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,298 |
2,840 |
$195K |
| 76818 |
|
2,109 |
1,189 |
$127K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,201 |
976 |
$102K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,443 |
995 |
$74K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,416 |
1,200 |
$71K |
| 76820 |
|
1,194 |
731 |
$67K |
| 76821 |
|
494 |
299 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
501 |
466 |
$21K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
327 |
240 |
$9K |
| 99215 |
Prolong outpt/office vis |
52 |
27 |
$3K |
| 99205 |
Prolong outpt/office vis |
19 |
13 |
$2K |
| 76801 |
|
13 |
13 |
$622.20 |