| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
671 |
351 |
$91K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,452 |
823 |
$74K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
511 |
379 |
$39K |
| 76813 |
|
311 |
209 |
$23K |
| 76818 |
|
309 |
85 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
265 |
176 |
$15K |
| 76801 |
|
235 |
173 |
$12K |
| 76825 |
|
63 |
27 |
$7K |
| 76830 |
Ultrasound, transvaginal |
167 |
167 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
108 |
105 |
$5K |
| 76820 |
|
94 |
46 |
$4K |
| 93325 |
|
48 |
16 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
92 |
67 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
72 |
$3K |
| 76827 |
|
47 |
15 |
$3K |
| 93976 |
|
32 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
38 |
$2K |
| 76821 |
|
26 |
19 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$842.43 |
| 81025 |
|
13 |
13 |
$70.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |