| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,122 |
912 |
$101K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
886 |
494 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
758 |
650 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
411 |
262 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
299 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
138 |
137 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
602 |
422 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
75 |
69 |
$11K |
| 76820 |
|
242 |
121 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
74 |
55 |
$5K |
| 76813 |
|
20 |
18 |
$2K |
| 81025 |
|
258 |
229 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 87210 |
|
152 |
119 |
$917.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$212.48 |
| 0502F |
|
330 |
202 |
$0.00 |