| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
144 |
143 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
292 |
260 |
$21K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
322 |
219 |
$16K |
| 76820 |
|
370 |
257 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
328 |
249 |
$9K |
| 76801 |
|
116 |
108 |
$7K |
| 76813 |
|
83 |
82 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
62 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |