| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,850 |
3,493 |
$257K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,101 |
2,064 |
$256K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,179 |
1,483 |
$182K |
| 76820 |
|
2,387 |
1,382 |
$104K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,630 |
1,330 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,602 |
1,388 |
$83K |
| 76821 |
|
1,047 |
545 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
743 |
697 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
722 |
714 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
231 |
$24K |
| 76825 |
|
117 |
116 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
502 |
364 |
$12K |
| 76827 |
|
117 |
116 |
$6K |
| 76813 |
|
89 |
89 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
107 |
103 |
$4K |
| 93325 |
|
75 |
75 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
15 |
$886.61 |