| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
757 |
662 |
$32K |
| 0502F |
|
641 |
436 |
$31K |
| 76818 |
|
564 |
397 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
410 |
366 |
$11K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
165 |
146 |
$9K |
| 99242 |
|
152 |
108 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
254 |
203 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
161 |
155 |
$4K |
| 76820 |
|
116 |
70 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
99 |
51 |
$4K |
| 76813 |
|
120 |
118 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
37 |
$3K |
| 76821 |
|
83 |
47 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
127 |
72 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
32 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$1K |
| 76801 |
|
19 |
19 |
$638.52 |
| 90715 |
|
12 |
12 |
$518.10 |
| 81003 |
|
67 |
59 |
$163.06 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$4.10 |