| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,657 |
2,454 |
$363K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,613 |
3,930 |
$344K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,506 |
2,297 |
$159K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,501 |
2,163 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,217 |
1,154 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,167 |
1,087 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
330 |
314 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
196 |
$25K |
| 76801 |
|
187 |
176 |
$17K |
| 76820 |
|
125 |
106 |
$4K |