| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
6,145 |
4,703 |
$438K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,348 |
2,674 |
$427K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,469 |
4,775 |
$399K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,018 |
4,246 |
$298K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,018 |
2,911 |
$206K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,645 |
2,144 |
$200K |
| 76820 |
|
2,347 |
1,146 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
944 |
671 |
$32K |
| 76810 |
|
372 |
254 |
$23K |
| 76825 |
|
231 |
159 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
223 |
160 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
323 |
209 |
$8K |
| 76818 |
|
336 |
74 |
$8K |
| 93325 |
|
240 |
178 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
28 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99221 |
|
35 |
24 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99406 |
|
148 |
89 |
$751.74 |
| 76821 |
|
16 |
12 |
$647.60 |
| 59025 |
Fetal non-stress test |
78 |
26 |
$643.42 |