| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
867 |
728 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
138 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
250 |
156 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
92 |
$5K |
| 99442 |
|
84 |
74 |
$2K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$642.84 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
14 |
$452.81 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$343.28 |