| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,550 |
3,721 |
$143K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,842 |
1,728 |
$75K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,253 |
826 |
$36K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
432 |
368 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,189 |
995 |
$30K |
| 76821 |
|
524 |
356 |
$15K |
| 76801 |
|
253 |
242 |
$10K |
| 59025 |
Fetal non-stress test |
428 |
296 |
$10K |
| 76820 |
|
490 |
332 |
$10K |
| 76818 |
|
104 |
73 |
$4K |
| 76825 |
|
66 |
50 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19 |
16 |
$899.45 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$860.88 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
13 |
$467.49 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
14 |
$454.73 |
| 93325 |
|
32 |
25 |
$340.80 |
| 76827 |
|
15 |
12 |
$307.02 |