| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76820 |
|
4,441 |
2,555 |
$162K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,372 |
2,558 |
$104K |
| 76818 |
|
2,425 |
1,125 |
$75K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,421 |
1,212 |
$57K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,454 |
839 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
372 |
$32K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,602 |
1,261 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
706 |
442 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
111 |
104 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
112 |
95 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
25 |
$3K |
| 99242 |
|
15 |
15 |
$1K |
| 59025 |
Fetal non-stress test |
14 |
13 |
$151.38 |