| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
894 |
894 |
$190K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,667 |
1,162 |
$163K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,520 |
1,026 |
$144K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,059 |
902 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,120 |
727 |
$89K |
| 93976 |
|
428 |
335 |
$64K |
| 76820 |
|
1,598 |
1,066 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
144 |
144 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$11K |
| 76813 |
|
55 |
55 |
$7K |
| 99215 |
Prolong outpt/office vis |
32 |
24 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$3K |
| 76801 |
|
19 |
19 |
$2K |