| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
210 |
210 |
$39K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
212 |
202 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
282 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
156 |
$11K |
| 76820 |
|
165 |
157 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
60 |
59 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$3K |
| 93325 |
|
20 |
19 |
$2K |
| 76825 |
|
18 |
18 |
$2K |
| 76813 |
|
13 |
12 |
$2K |
| 76827 |
|
18 |
18 |
$1K |
| 76801 |
|
13 |
12 |
$1K |