| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,052 |
1,003 |
$78K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
946 |
749 |
$51K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
349 |
343 |
$48K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
440 |
413 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
592 |
554 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
206 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
336 |
294 |
$16K |
| 99215 |
Prolong outpt/office vis |
94 |
78 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
24 |
$1K |
| 81002 |
|
59 |
54 |
$209.52 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
30 |
$97.62 |