| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
973 |
864 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
690 |
637 |
$40K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
177 |
127 |
$11K |
| 76818 |
|
118 |
68 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
132 |
113 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
34 |
34 |
$5K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$2K |
| 76801 |
|
15 |
13 |
$1K |
| 59025 |
Fetal non-stress test |
33 |
12 |
$945.15 |
| 76820 |
|
19 |
13 |
$658.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
27 |
$559.41 |
| 81025 |
|
76 |
73 |
$519.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$452.74 |
| 90674 |
|
12 |
12 |
$238.15 |