| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
755 |
743 |
$97K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
555 |
487 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
309 |
301 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
341 |
298 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
376 |
256 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
166 |
$15K |
| 99243 |
|
44 |
43 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
63 |
$3K |
| 76818 |
|
26 |
12 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99242 |
|
14 |
14 |
$900.90 |
| 81002 |
|
145 |
132 |
$370.97 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
48 |
$124.03 |
| 82962 |
|
36 |
24 |
$73.46 |
| 99000 |
|
41 |
35 |
$0.00 |