| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
819 |
797 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,014 |
863 |
$61K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
969 |
758 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
623 |
612 |
$56K |
| 76813 |
|
143 |
137 |
$14K |
| 76801 |
|
195 |
184 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
58 |
39 |
$4K |
| 76825 |
|
26 |
25 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$2K |
| 76827 |
|
32 |
30 |
$2K |
| 93325 |
|
33 |
30 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |