| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17,596 |
7,147 |
$1.02M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
6,508 |
6,141 |
$1.01M |
| 76825 |
|
3,487 |
3,472 |
$297K |
| 76813 |
|
2,289 |
1,997 |
$238K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,144 |
1,042 |
$195K |
| 59025 |
Fetal non-stress test |
7,014 |
2,456 |
$156K |
| 76827 |
|
2,215 |
2,210 |
$126K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,859 |
1,851 |
$95K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
661 |
658 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
295 |
286 |
$21K |
| 76801 |
|
215 |
209 |
$15K |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
44 |
$2K |