| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,245 |
4,880 |
$798K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,743 |
6,965 |
$419K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,995 |
2,825 |
$272K |
| 76801 |
|
1,917 |
1,779 |
$189K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,509 |
3,196 |
$174K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,026 |
2,461 |
$145K |
| 76818 |
|
1,809 |
1,085 |
$140K |
| 76813 |
|
912 |
834 |
$86K |
| 76820 |
|
1,335 |
768 |
$63K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,804 |
1,281 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
279 |
263 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
361 |
348 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
512 |
388 |
$13K |
| 99201 |
|
289 |
269 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
190 |
182 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
139 |
$7K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
537 |
489 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |