| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
495 |
463 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
722 |
655 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
267 |
246 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
235 |
204 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
197 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
98 |
86 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$854.88 |
| 76820 |
|
13 |
13 |
$429.57 |
| 81002 |
|
77 |
66 |
$90.05 |
| 3008F |
|
13 |
12 |
$0.00 |