| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,851 |
5,512 |
$548K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,389 |
3,622 |
$506K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,269 |
2,246 |
$283K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,320 |
2,163 |
$244K |
| 99215 |
Prolong outpt/office vis |
1,979 |
1,374 |
$132K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,067 |
1,058 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,983 |
1,326 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,901 |
1,139 |
$56K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
608 |
514 |
$40K |
| 99205 |
Prolong outpt/office vis |
216 |
215 |
$20K |
| 81003 |
|
5,336 |
2,223 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
162 |
$9K |
| 76820 |
|
240 |
156 |
$7K |
| 99245 |
|
51 |
51 |
$7K |
| 59025 |
Fetal non-stress test |
140 |
91 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
59 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$2K |
| 76801 |
|
12 |
12 |
$866.18 |
| 99233 |
Prolong inpt eval add15 m |
17 |
12 |
$753.26 |
| 99072 |
|
629 |
449 |
$240.00 |
| 99417 |
Prolong home eval add 15m |
19 |
16 |
$145.60 |
| 36415 |
Collection of venous blood by venipuncture |
295 |
278 |
$35.00 |
| A4559 |
Coupling gel or paste, for use with ultrasound device, per oz |
154 |
128 |
$0.00 |
| 36416 |
|
31 |
25 |
$0.00 |