| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,416 |
2,773 |
$322K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,534 |
1,446 |
$237K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,805 |
1,419 |
$212K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,551 |
1,979 |
$199K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,713 |
1,062 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,903 |
1,330 |
$109K |
| 76821 |
|
1,179 |
610 |
$96K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
901 |
801 |
$92K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,187 |
948 |
$54K |
| 76820 |
|
972 |
504 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
972 |
740 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
444 |
329 |
$25K |
| 76801 |
|
169 |
155 |
$19K |
| 59025 |
Fetal non-stress test |
410 |
208 |
$16K |
| 76813 |
|
43 |
39 |
$4K |
| 76825 |
|
17 |
13 |
$3K |
| 93976 |
|
47 |
32 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
70 |
$2K |
| 76818 |
|
14 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
18 |
13 |
$1K |
| 76827 |
|
17 |
13 |
$889.60 |
| 93325 |
|
13 |
13 |
$298.36 |