| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,154 |
1,065 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,194 |
1,538 |
$63K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
315 |
129 |
$23K |
| 59514 |
|
60 |
60 |
$11K |
| 76820 |
|
232 |
90 |
$11K |
| 59025 |
Fetal non-stress test |
157 |
64 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
50 |
50 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$1K |
| 87110 |
|
40 |
39 |
$0.00 |